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Individual

MARK ALAN GREENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12630 WHITEHALL DR, FORT MYERS, FL 33907-3619
(239) 939-7555
Mailing address
12630 WHITEHALL DR, FORT MYERS, FL 33907-3619

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME51537
FL

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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