Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latifah Latrelle Green, CMA

Individual provider Driver · NPI 1295356616

Latifah Latrelle Green, CMA is a Driver in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

8006 Jaguar Dr
Jacksonville, FL 32244-1357
Phone: (904) 930-1126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence G650532875960 (FL)

Record details

NPI number1295356616
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMA
Sole proprietorYes
NPI enumeratedApril 27, 2020
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020

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