MARK ALAN GREENBERG M.D. NPI 1275501454

NPI Information

NPI: 1275501454
Provider Name: MARK ALAN GREENBERG, M.D.
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Individual

Specialization: Allergy

Address:
12630 WHITEHALL DR
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-7555
Get Directions

Mark Alan Greenberg, M.D. is an allergy allergy immunology in Fort Myers, FL. Mark Alan Greenberg, M.D. NPI is 1275501454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12630 WHITEHALL DR
FORT MYERS, FL
ZIP 33907-619
Phone: (239) 939-7555

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	ME51537	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D61300	MEDICARE UPIN	FLORIDA
2	05845	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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