Greenfield, David Ivan

Greenfield, David Ivan is an sole proprietor health care provider with primary practice located at 1525 Tamiami Trl S Suite 601, Venice FL 34285-3568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Greenfield, David Ivan can be contacted via phone (941) 497-4069.

Contact Information

Primary practice address
1525 Tamiami Trl S Suite 601 Venice FL 34285-3568
Phone: (941) 497-4069
Fax: (941) 496-9145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME46436 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME0046436 Florida

Profile Details

NPI number 1669415253
LBN Legal business name Greenfield, David Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Oct 11th, 2016 - about 8 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 1669415253 NPPES
Florida MEDICAID 048713900

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