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Thomas J Green JR., MD
Neuroradiology Physician in Daytona Beach, Florida
NPI 1942207709

Thomas J Green JR. is a Neuroradiology Physician based in Daytona Beach, FL and is specialized in Neuroradiology. Thomas J Green JR. practices in Daytona Beach, FL and has the professional credentials of MD. The NPI Number for Thomas J Green JR. is 1942207709 and holds a License No. ME 86894 (Florida).

The current practice location address for Thomas J Green JR. is 1673 Mason Ave, Daytona Beach, FL and can be reached out via phone at 386-274-7118 and via fax at 386-274-6173.

Location: 1673 Mason Ave, Daytona Beach, FL, 32117-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942207709
Provider Name
Thomas J Green JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1673 Mason Ave, Daytona Beach, FL, 32117-5515
Phone Number
386-274-7118
Fax Number
386-274-6173
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
79205 01 FL BCBS OF FLORIDA
267313400 05 FL
institution
Provider Business Practice Location Address Details
Address
1673 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-5515
Phone Number
386-274-7118
Fax Number
386-274-6173
person
Provider Business Mailing Address Details
Address
1673 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-5515
Phone Number
386-274-7118
Fax Number
386-274-6173
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
ME 86894 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
ME 86894 (Florida)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
ME 86894 (Florida)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
ME 86894 (Florida)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME 86894 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
ME86894 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
ME86894 (Florida)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
ME 86894 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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