# JEFFREY MARK GREENBERG MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205061447
- **Authorized official:** DR. JEFFREY MARK GREENBERG MD (OWNER)
- **Authorized official phone:** (941) 979-5153

## Contact information

- **Practice address:** 2811 TAMIAMI TRL, SUITE I, PORT CHARLOTTE, FL 33952-5173
- **Practice address phone:** (941) 979-5153
- **Mailing address:** PO BOX 494240, PORT CHARLOTTE, FL 33949-4240
- **Mailing address phone:** (941) 979-5153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME104409 | FL | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 08/10/2011