LEE A GREEN PH D P A NPI 1356524367

NPI Information

NPI: 1356524367
Provider Name: LEE A GREEN PH D P A
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2650 BAHIA VISTA ST
SUITE 201
SARASOTA, FL
ZIP 34239
Phone: (941) 951-6504
Get Directions

LEE A GREEN PH D P A is an adult mental health clinic center in Sarasota, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LEE A GREEN PH D P A NPI is 1356524367. The provider is registered as an organization entity type.

The provider's business location address is:

2650 BAHIA VISTA ST
SUITE 201
SARASOTA, FL
ZIP 34239-635
Phone: (941) 951-6504
Fax: (941) 951-6433

The provider's authorized official is Lee A. Green .
The authorized official title is President and has the following contact phone number (941) 951-6504.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 2/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	PY5323	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59795	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »