Emergency Medicine
OTIS GREEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497326300 · enumerated 2021-07-02 · record updated 2026-03-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1601 CUMMINS DR STE D, MODESTO, CA, 95358-6411 Google Maps Apple Maps OpenStreetMap
- Practice location 4201 BELFORT RD, JACKSONVILLE, FL, 32216-1431 (904) 296-3700 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · Primary · License ME180065 FL
In this directory
Locations and evidence
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Practice location
JACKSONVILLE, FL, 322161431
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.