Healthcare Provider Details

I. General information

NPI: 1942364690
Provider Name (Legal Business Name): YOSEF Y GREENSPON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLETCHER AVE STE 126
TAMPA FL
33613-4613
US

IV. Provider business mailing address

8500 MARYLAND AVE APT 720
CLAYTON MO
63124-2314
US

V. Phone/Fax

Practice location:
  • Phone: 813-756-1760
  • Fax: 813-756-1761
Mailing address:
  • Phone: 314-882-3299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberU8988
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2010028270
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number2010028270
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number31977
License Number StateWV
# 5
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberU8988
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number036-150718
License Number StateIL
# 7
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberME159664
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: