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801 W Bay Dr Suite 431 Largo FL 33770-3269 | |
| (727) 549-8107 | |
| (727) 549-8720 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 801 W Bay Dr, Largo, Florida |
| Authorized Official Name and Position | William R Greenberg (PRESIDENT) |
| Authorized Official Contact | 7275498107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
801 W Bay Dr Suite 431 Largo FL 33770-3269 Ph: (727) 549-8107 | 801 W Bay Dr Suite 431 Largo FL 33770-3269 Ph: (727) 549-8107 |
| NPI Number | 1831176593 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831176593 | NPI | - | NPPES |
| 130000533 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME39777 (Florida) | Primary |
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