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Organization

B GREENWALD MEDICAL, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT MARC GREENWALD D.C. (OWNER)
(772) 546-9591
Entity
Organization

Contact information

Practice address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
(772) 546-9535
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
(772) 546-9535

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7238
FL
111N00000X
Chiropractor
CH9562
FL
174400000X
Specialist
OS10065
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
076934
MEDICARE ID - TYPE UNSPECIFIED
PA
Enumeration date
02/11/2009
Last updated
04/16/2009
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