ALIA DEYIRA GREEN

TALLAHASSEE, FL
NPI1508509092
Former NameALIA DEYIRA PIERRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME171017)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  E-17218)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-14
Last Update Date2025-06-27
Business Address
ALIA DEYIRA GREEN MD
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4402
Phone number: 850-325-5000
Mailing Address
ALIA DEYIRA GREEN MD
202 S SHADOW ST
QUINCY, FL 32351-3343
Phone number: 850-322-7094