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1114041894
MICHAEL GREENE
HOLLYWOOD, FL
NPI
1114041894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: FL 0700024180)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL GREENE
4535 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021-6611
Phone number: 954-965-3653
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Mailing Address
Mr. MICHAEL GREENE
4535 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021-6611
Phone number: 954-965-3653
Copy
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