MEDICARE: DR. MEGAN MURPHY GREEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		FL

General Provider Information

NPI Number	:	1386347631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN MURPHY GREEN MD

Provider Business Mailing Address
First Line	:	580 W 8TH ST STE 6005
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6533
Country	:	US
Telephone Number	:	904-383-1038
Fax Number	:	904-244-3455

Provider Business Practice Location Address
First Line	:	580 W 8TH ST STE 6005
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6533
Country	:	US
Telephone Number	:	904-383-1038
Fax Number	:	904-244-3455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	12/16/2025

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