| Robert C Greer Iv,d.o.,p.a. | |
|
624 U.s.highway #1 Lake Park FL 33403 | |
| (561) 844-2464 | |
| (561) 844-1250 |
| Full Name | Robert C Greer Iv,d.o.,p.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 624 U.s.highway #1, Lake Park, Florida |
| Authorized Official Name and Position | Robert Collins Greer (OWNER) |
| Authorized Official Contact | 5618442464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Greer Iv,d.o.,p.a. 624 U.s.highway #1 Lake Park FL 33403 Ph: (561) 844-2464 | Robert C Greer Iv,d.o.,p.a. 624 U.s.highway #1 Lake Park FL 33403 Ph: (561) 844-2464 |
| NPI Number | 1427349109 |
|---|---|
| Provider Enumeration Date | 04/28/2011 |
| Last Update Date | 04/28/2011 |
| Medicare PECOS PAC ID | 0840475893 |
|---|---|
| Medicare Enrollment ID | O20110506000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427349109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS3909 (Florida) | Primary |
| Provider Name | Robert C Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053319533 PECOS PAC ID: 4385829332 Enrollment ID: I20110506000299 |
| Provider Name | Robert Collins Greer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134483282 PECOS PAC ID: 1355583659 Enrollment ID: I20130816000202 |
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