Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | ME0045242 | FL |
NPI | 1003816281 |
---|---|
Provider Name | Dr. Jonathan Michael Greer |
First Address | Boynton Beach, FL 33437-3500 |
Second Address | Boynton Beach, FL 33437-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 31/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D77237 | (02) | FL |