David J Green, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0029242 Issued in FL

Legal business name

DAVID J GREEN, MD

Practice address

7000 State Road 544
Ste 7
Winter Haven, FL 33881-9536

Phone

(863) 291-3732

Fax

(863) 299-6287

NPI assigned

Oct 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David J Green, MD

Title

Owner/Physician

Phone

(863) 291-3732

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1396097903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 STATE ROAD 544",
            "address_2": "STE 7",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819536",
            "telephone_number": "863-291-3732",
            "fax_number": "863-299-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 STATE ROAD 544",
            "address_2": "STE 7",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819536",
            "telephone_number": "863-291-3732",
            "fax_number": "863-299-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GREEN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "863-291-3732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0029242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039042900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Daniels
• Julie Pope Dantzler, LMHC
• Liliana Renee Daoez
• David B Simmons MD PA
• David C Neal DDS PA
• Waseem Joseph David, M.D.
• John Linden Davidson, O.D.
• Katherine Davidson, ARNP
• Yamaira Davila, LCSW
• Davis Medical Center LLC

• Family Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.