Robert A Green (NPI# 1902134380, PAC ID# 9537284583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1902134380 |
| PAC ID by PECOS | 9537284583 |
| Professional Enrollment ID | I20100914000487 |
| Full Name | Robert A Green |
| Organization Legal Name | RED TREE HEALTH LLC |
| Address |
2881 E Oakland Park Blvd Suite 201 Ft Lauderdale FL 33306-1813 |
| Phone Number | 9548818230 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9931405578 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030077 | SAN CARLOS APACHE HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2881 E Oakland Park Blvd, Suite 201, Ft Lauderdale, FL 33306-1813 | 9548818230 | RED TREE HEALTH LLC |
| 2881 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1813 | 9548818230 | RED TREE HEALTH LLC |
| 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 9284751200 | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Organization Legal Name | RED TREE HEALTH LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Kelly | Nurse Practitioner | Red Tree Health LLC | 2881 E Oakland Park Blvd, Suite 201, Ft Lauderdale, FL 33306-1813 |
| Dianne Lavelle | Nurse Practitioner | Red Tree Health LLC | 2881 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1813 |
| Street Address |
2881 E OAKLAND PARK BLVD SUITE 201 |
| City | FT LAUDERDALE |
| State | FL |
| Zip | 33306-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ingrid Partenio | Psychologist, Clinical | 2881 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1813 | |
| Barbara J Kelly | Nurse Practitioner | Red Tree Health LLC | 2881 E Oakland Park Blvd, Suite 201, Ft Lauderdale, FL 33306-1813 |
| Dianne Lavelle | Nurse Practitioner | Red Tree Health LLC | 2881 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin L Bush | Family Medicine | 3101 N Federal Hwy, Suite 201, Oakland Park, FL 33306-1041 | |
| David W Moskowitz | Internal Medicine | Caps Medical Management LLC | 3471n Federal Hwy 202, Fort Lauderdale, FL 33306-1048 |
| Debra J Tantillo | Clinical Social Worker | 3471 N Federal Hwy, Suite 205, Ft Lauderdale, FL 33306-1048 | |
| Tony M Momeni | Family Medicine | Amicus Medical Center LLC | 3471 N Federal Hwy, Suite 202, Fort Lauderdale, FL 33306-1048 |
| Peter Jon Simon | Plastic and Reconstructive Surgery | 3201 N Federal Hwy, Suite 302, Fort Lauderdale, FL 33306-1060 | |
| Donna L Watson | Chiropractic | 2034 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1107 | |
| Gregory Schachtman | Optometry | 2140 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1109 | |
| Yvrose Olivier | Nurse Practitioner | Florida Practitioners, LLC | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1149 |
| John H Bascome | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Paul Klein | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Find all physicians in zip 33306 | |||
| City | FT LAUDERDALE |
| Zip Code | 33306 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FT LAUDERDALE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert A Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.