Greenberg, Mark

Greenberg, Mark is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Greenberg, Mark can be contacted via phone (813) 259-0904.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Tampa FL 33612-4742
Phone: (813) 259-0904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME58617 Florida

Profile Details

NPI number 1205855533
LBN Legal business name Greenberg, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205855533 NPPES
Florida Other 11583 BLUE CROSS BLUE SHIELD
Florida MEDICAID 064887600 BLUE CROSS BLUE SHIELD

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