# MARVIN E GREENBERG MD PA

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

## Provider details

- **NPI number:** 1629034616
- **Authorized official:** DR. MARVIN E GREENBERG MD (PRESIDENT)
- **Authorized official phone:** (954) 726-2080

## Contact information

- **Practice address:** 7421 N UNIVERSITY DRIVE, SUITE 109, TAMARAC, FL 33321-2952
- **Practice address phone:** (954) 726-2080
- **Practice address fax:** (954) 726-2105
- **Mailing address:** 7421 N UNIVERSITY DRIVE, SUITE 109, TAMARAC, FL 33321-2952
- **Mailing address phone:** (954) 726-2080
- **Mailing address fax:** (954) 726-2105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME36221 | FL | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 02/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 79535 | BLUE SHIELD OF FLORIDA | FL |