IndividualActive
Cedric Green, MD
NPI 1629606629 · Family Medicine Physician · Jacksonville, FL
Provider details
- NPI number
- 1629606629
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME157557 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-6722
Approximate (ZIP-level) locationGet directions
Mailing address
8849 W Colonial Dr
Ocoee, FL 34761-6951
Registry dates
- Enumerated
- 2020-03-27
- Last updated
- 2023-12-21
- Certified
- 2023-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.