Organization
JEFFREY MARK GREENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARK GREENBERG MD (OWNER)
(941) 979-5153
Entity
Organization
Contact information
Practice address
2811 TAMIAMI TRL, SUITE I, PORT CHARLOTTE, FL 33952-5173
(941) 979-5153
Mailing address
PO BOX 494240, PORT CHARLOTTE, FL 33949-4240
(941) 979-5153
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME104409
FL
Other
Enumeration date
05/18/2009
Last updated
08/10/2011
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