Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 40335 | FL |
NPI | 1124237664 |
---|---|
Provider Name | Dr. Phillip Eric Greenbarg |
First Address | Hollywood, FL 33021-3606 |
Second Address | Hollywood, FL 33021-3535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |