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Organization
MARVIN E GREENBERG MD PA
Active
Organization
MARVIN E GREENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN E GREENBERG MD (PRESIDENT)
(954) 726-2080
Entity
Organization
Contact information
Practice address
7421 N UNIVERSITY DRIVE, SUITE 109, TAMARAC, FL 33321-2952
(954) 726-2080
(954) 726-2105
Mailing address
7421 N UNIVERSITY DRIVE, SUITE 109, TAMARAC, FL 33321-2952
(954) 726-2080
(954) 726-2105
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME36221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79535
BLUE SHIELD OF FLORIDA
FL
Enumeration date
04/26/2006
Last updated
02/07/2008
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