Search › Florida › 363A00000X
Michael Green, PA-C
NPI 1730257981 · on the registry since 2006 · sole proprietor
Practice
- Address
- 630 Griffin Ave
Lady Lake, FL 32159 - Phone
- (872) 231-3162
- Organisation at this address
- Lady Lake Nh, Llc
Sunbelt Staffing, Inc
Sunshine Surgical And Wound Care Llc
Lady Lake Specialty Care Center And Rehab LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 700 N Palmetto St, Leesburg, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-21
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