| Stuart N Greenberg MD PA | |
|
809 E Marion Ave Punta Gorda FL 33950-3819 | |
| (941) 206-5200 | |
| (941) 206-6418 |
| Full Name | Stuart N Greenberg MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 809 E Marion Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Stuart N Greenberg (OWNER) |
| Authorized Official Contact | 9412065200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart N Greenberg MD PA Po Box 511715 Punta Gorda FL 33951-1715 Ph: (941) 206-5200 | Stuart N Greenberg MD PA 809 E Marion Ave Punta Gorda FL 33950-3819 Ph: (941) 206-5200 |
| NPI Number | 1124278924 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 8628136256 |
|---|---|
| Medicare Enrollment ID | O20081024000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124278924 | NPI | - | NPPES |
| 000527700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93237 (Florida) | Primary |
| Provider Name | Stuart N Greenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043244130 PECOS PAC ID: 2860585601 Enrollment ID: I20070910000656 |
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