Otis Green Iii (NPI# 1629561451, PAC ID# 5890046791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629561451 |
| PAC ID by PECOS | 5890046791 |
| Professional Enrollment ID | I20180914001746 |
| Full Name | Otis Green Iii |
| Organization Legal Name | FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC |
| Address |
1215 Dunn Ave Jacksonville FL 32218-6330 |
| Phone Number | 9047571998 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214832245 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 9047571998 | FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC |
| 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 | 9047447300 | FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC |
| Organization Legal Name | FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anissa Brisbane-mcfadden | Nurse Practitioner | Family Care Partners of Northeast Florida LLC | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 |
| John C Sams | Internal Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 28, Jacksonville, FL 32250-2080 |
| Ali R Afshar | Family Medicine | Family Care Partners of Northeast Florida LLC | 4565 Us Hwy 17, Suite 106, Fleming Island, FL 32003-4822 |
| Karen A Edwards-crawford | Internal Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-4897 |
| Srirekha Reddy Madadi | Pediatric Medicine | Family Care Partners of Northeast Florida LLC | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 |
| Anthony L Underwood | Family Medicine | Family Care Partners of Northeast Florida LLC | 14444 Beach Blvd, Suite 28, Jacksonville, FL 32250-2080 |
| William Carriere | Family Medicine | Family Care Partners of Northeast Florida LLC | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 |
| Charles R Warren | Family Medicine | Family Care Partners of Northeast Florida LLC | 4565 Us Hwy 17, Suite 106, Fleming Island, FL 32003-4822 |
| Julius A Gorospe | Family Medicine | Family Care Partners of Northeast Florida LLC | 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 |
| Kedra F Williams | Family Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Street Address |
1215 DUNN AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32218-6330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Edwards-crawford | Internal Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-4897 |
| Kedra F Williams | Family Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| James R Biggerstaff | Family Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Renee Christine Aulisi | Nurse Practitioner | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Shannon M Mcdonough | Nurse Practitioner | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-4897 |
| Kara Trzasko | Physician Assistant | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-4897 |
| Tameerah Mebane | Nurse Practitioner | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Cathy A Schan | Physician Assistant | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Shawna Hamilton | Pediatric Medicine | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Jacksonville, FL 32218-6330 |
| Lauren Elizabeth Bonner | Nurse Practitioner | Family Care Partners of Northeast Florida LLC | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-4897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Wink | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Kimberly Ann Segler | Occupational Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Justin Carmel | Physical Therapy | Jacksonville Orthopaedic Institute Inc | 12961 Main St N, Suite 201 202, Jacksonville, FL 32218-2769 |
| Chandra M Williams | Optometry | River City Vision Center Pa | 12961 N Main St, Unit 203, Jacksonville, FL 32218-2771 |
| Heather S Applewhite | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Jamila Mainor | Family Medicine | Baptist Primary Care Inc | 11236 Baptist Health Dr, Suite 220, Jacksonville, FL 32218-2988 |
| Katherine Langston | Family Medicine | Florida Post Acute Care Clinicians LLC | 11411 Armsdale Rd, Jacksonville, FL 32218-3311 |
| Sharon Lynn Steinmetz | Nurse Practitioner | 11565 Harts Rd, Jacksonville, FL 32218-3777 | |
| Elizabeth Ann Breza | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Allison Krebs | Nurse Practitioner | Millennium Physician Group LLC | 11513 N Main St, Jacksonville, FL 32218-4002 |
| Find all physicians in zip 32218 | |||
| City | JACKSONVILLE |
| Zip Code | 32218 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Otis Green Iii.
| 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.