Provider Demographics
NPI:1053910240
Name:JEFFREY M GREENBERG MD MEDICAL SERVICES INC
Entity type:Organization
Organization Name:JEFFREY M GREENBERG MD MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-851-8147
Mailing Address - Street 1:13324 POND APPLE DR W
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8556
Mailing Address - Country:US
Mailing Address - Phone:239-851-8174
Mailing Address - Fax:727-954-6546
Practice Address - Street 1:13324 POND APPLE DR W
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8556
Practice Address - Country:US
Practice Address - Phone:239-851-8174
Practice Address - Fax:727-954-6546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty