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Tachanda Green
NPI 1467137984 · on the registry since 2023
Practice
- Address
- 2250 N Coutenay Pkwy
Merritt Island, FL 32953 - Phone
- (321) 455-5100
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Also registered as
- 224Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-21
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