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

MICHAEL GREEN

Active Sole Proprietor

MICHAEL GREEN is a Behavioral Health, Residential healthcare provider located in FORT MYERS, Florida. NPI 1992672810 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · FORT MYERS, FL

Registration Details

NPI Number
1992672810
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2025 (0.85416576779192 yrs)
Last Updated
Oct 23, 2025
Sole Proprietor
Yes

Practice Information

Address
4941 GARY DR
FORT MYERS, FL, 339053633
Browse FL providers · Browse ZIP 33905
Phone
2399806129
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Providers in FORT MYERS, FL

Name Credential NPI
MICHAEL GREEN II 1851269740
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.