Individual
LENA WEINMAN-GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5005 PORT ST JOHN PKWY, SUITE 2300, PORT ST JOHN, FL 32927-4305
(321) 633-8663
(321) 633-8618
Mailing address
805 CENTURY MEDICAL DR STE C, CREDENTIALING OFFICE, TITUSVILLE, FL 32796-2100
(321) 633-8663
(321) 633-8618
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101017769
MI
207V00000X
Obstetrics & Gynecology Physician
DO159950
OR
207V00000X
Obstetrics & Gynecology Physician
OS11760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016165000
—
FL
Enumeration date
05/09/2008
Last updated
11/27/2023
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