Organization
JONATHAN GREENBERG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GREENBERG M.D. (OWNER)
(407) 648-9500
Entity
Organization
Contact information
Practice address
1517 E ROBINSON ST, ORLANDO, FL 32801-2121
(407) 648-9500
(407) 648-5558
Mailing address
1517 E ROBINSON ST, ORLANDO, FL 32801-2121
(407) 648-9500
(407) 648-5558
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME50725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047355300
—
FL
Enumeration date
08/24/2007
Last updated
09/27/2010
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