| Green Tree Family Medicine Llc | |
|
525 Ne 7th St Apt 11212 Fort Lauderdale FL 33304-4152 | |
| (813) 512-1496 | |
| Not Available |
| Full Name | Green Tree Family Medicine Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 525 Ne 7th St Apt 11212, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Jegan E Gabbidon (PHYSICIAN) |
| Authorized Official Contact | 8135121496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Tree Family Medicine Llc 525 Ne 7th St Apt 11212 Fort Lauderdale FL 33304-4152 Ph: (813) 512-1496 | Green Tree Family Medicine Llc 525 Ne 7th St Apt 11212 Fort Lauderdale FL 33304-4152 Ph: (813) 512-1496 |
| NPI Number | 1699507756 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699507756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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