CHASE FREDERICK GREEN

LAKELAND, FL
NPI1609679844
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: FL  NA)
Enumeration Date2025-03-31
Last Update Date2025-03-31
Business Address
CHASE FREDERICK GREEN DO
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
Mailing Address
CHASE FREDERICK GREEN DO
110 MARTESIA WAY
INDIAN HARBOUR BEACH, FL 32937-3569
Phone number: