Individual
JOHN F GRESKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 659-5840
(954) 659-5809
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3625
(954) 659-5840
(954) 659-5809
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-072360
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205578
ANTHEM
OH
05
—
014106000
—
FL
05
—
2040688
—
OH
01
—
IB079Z
MEDICARE
FL
Enumeration date
08/31/2006
Last updated
04/25/2018
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