Healthcare Provider Details

I. General information

NPI: 1851598080
Provider Name (Legal Business Name): DAVID MATTHEW GREISIGER PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 SE 17TH ST
OCALA FL
34471-3968
US

IV. Provider business mailing address

1524 SE 18TH AVE
OCALA FL
34471-4104
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-4509
  • Fax:
Mailing address:
  • Phone: 419-450-6780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number33933
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: