Provider Demographics
NPI:1932678885
Name:GREEN HEALTH CONSULTING LLC
Entity Type:Organization
Organization Name:GREEN HEALTH CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASEH
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-815-9172
Mailing Address - Street 1:PO BOX 9851
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-0851
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10308 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3942
Practice Address - Country:US
Practice Address - Phone:818-815-9172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ46994OtherLICENSE
FLME114198OtherMEDICAL LICENSURE