Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Alan Green, PA-C

Individual provider Physician Assistant · NPI 1730257981

Michael Alan Green, PA-C is a Physician Assistant in Lady Lake, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

630 Griffin Ave
Lady Lake, FL 32159-8101
Phone: (872) 231-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 N Palmetto St, Leesburg, FL 34748-4419 — (872) 231-3162

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109683 (FL)

Record details

NPI number1730257981
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing addressPo Box 22239, New York, NY 10087-0001

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