Green Clinic Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

GREEN CLINIC INC

Practice address

42719 Highway 27
Suite 103
Davenport, FL 33837-6821

Phone

(863) 424-9444

Fax

(863) 424-9006

NPI assigned

Oct 31, 2008

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Stanley D. McLemore

Title

Sr Vice President

Phone

(239) 598-3131

Specialties & licenses 1

Addresses

Other names 1

• Heart of Florida Back & Spine Center Doing business as

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1770736902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082704",
            "telephone_number": "239-398-3131",
            "fax_number": "239-398-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42719 HIGHWAY 27",
            "address_2": "SUITE 103",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376821",
            "telephone_number": "863-424-9444",
            "fax_number": "863-424-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2008-10-31",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Florida Back & Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn Lee Goodhart, M.D.
• Edward Gorman
• Jose Manuel Gracia-Arana, MCSW, JD
• Reginald Vincent Graham
• Leicy Maribi Granadillo Carroz
• Katherine Wheat Greer, MD
• Mark Griffo, M.D.
• Trudi Griffo, M.D.
• Growing Up Therapy
• Marla Guadamuz, MSW

• Orthopaedic Surgery of the Spine Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.