OTIS GREEN

JACKSONVILLE, FL
NPI1629561451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  9344018)
Enumeration Date2018-06-06
Last Update Date2018-12-12
Business Address
OTIS GREEN ARNP
1215 DUNN AVE
JACKSONVILLE, FL 32218-6330
Phone number: 904-757-1998
Mailing Address
OTIS GREEN ARNP
6520 FORT CAROLINE RD
JACKSONVILLE, FL 32277-2044
Phone number: 904-745-3618
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