OTIS GREEN

JACKSONVILLE, FL
NPI1497326300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME180065)
Enumeration Date2021-07-02
Last Update Date2026-03-30
Business Address
OTIS GREEN
4201 BELFORT RD
JACKSONVILLE, FL 32216-1431
Phone number: 904-296-3700
Mailing Address
OTIS GREEN
1601 CUMMINS DR STE D
MODESTO, CA 95358-6411
Phone number: