Provider Demographics
NPI:1154800233
Name:GREENBERG, MEIRAV (APRN)
Entity type:Individual
Prefix:
First Name:MEIRAV
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9973 NW 9TH COURT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1159
Mailing Address - Country:US
Mailing Address - Phone:954-433-8711
Mailing Address - Fax:
Practice Address - Street 1:9973 NW 9TH COURT
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1159
Practice Address - Country:US
Practice Address - Phone:954-665-1033
Practice Address - Fax:954-208-0011
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9377846363L00000X
FLAPRN9377846363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner