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Individual

DR. DAVID IVAN GREENFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1525 TAMIAMI TRL S, SUITE 601, VENICE, FL 34285-3568
(941) 497-4069
(941) 496-9145
Mailing address
1525 TAMIAMI TRL S, SUITE 601, VENICE, FL 34285-3568
(941) 497-4069
(941) 496-9145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME46436
FL
207RR0500X
Rheumatology Physician
Primary
ME0046436
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048713900
FL
Enumeration date
06/13/2006
Last updated
10/11/2016
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