Individual
DR. ADAM SCOTT GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12497 TAMIAMI TRL S STE 1, NORTH PORT, FL 34287-1415
(941) 282-3376
(941) 282-3378
Mailing address
12497 TAMIAMI TRL S STE 1, NORTH PORT, FL 34287-1415
(941) 282-3376
(941) 282-3378
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME75565
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME75565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015729
MEDICARE RR
FL
01
—
44796
BCBS
FL
01
—
921321379
TAX ID
FL
Enumeration date
09/07/2005
Last updated
01/16/2025
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