Search › Florida › 1041C0700X
Carmaneila Green
NPI 1396001756 · on the registry since 2012 · sole proprietor
Practice
- Address
- 67 S Dixie Hwy
St Augustine, FL 32084 - Phone
- (904) 429-7573
- Fax
- (904) 547-2731
- Organisation at this address
- St Augustine Adult & Pediatric Medicine Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida