Organization
HAROLD L GREENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD LOUIS GREENBERG MD (PRESIDENT)
(407) 682-4600
Entity
Organization
Contact information
Practice address
875 CONCOURSE PKWY SOUTH, MAITLAND, FL 32751-6147
(407) 682-4600
(407) 682-4647
Mailing address
PO BOX 161477, ALTAMONTE SPRINGS, FL 32716-1477
(407) 682-4600
(407) 682-4647
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0012290
FL
207RC0000X
Cardiovascular Disease Physician
0101235166
VA
207RC0000X
Cardiovascular Disease Physician
G 00018312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710948377
NPI
FL
Enumeration date
08/01/2007
Last updated
08/01/2007
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