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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FALLON LATRICE GREEN

Active Sole Proprietor

FALLON LATRICE GREEN is a Bus healthcare provider located in LAUDERHILL, Florida. NPI 1558833376 is currently active in the NPPES registry. Verify at CMS.

Bus · LAUDERHILL, FL

Registration Details

NPI Number
1558833376
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2018 (7.6893590640091 yrs)
Last Updated
Sep 23, 2019
License
G650252847490 (FL)
Sole Proprietor
Yes

Practice Information

Address
5967 NW 21ST ST
LAUDERHILL, FL, 333137604
Browse FL providers · Browse ZIP 33313
Phone
3059243333
Primary Specialty
Bus
343900000X

Other Bus Providers in LAUDERHILL, FL

Name Credential NPI
JACQUELINE PATRICIA MCKNIGHT 1376334748
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.