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Physician Compare National (NPI:1053319533)

HEALTHCARE PROVIDER: ROBERT COLLINS GREER IV D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1053319533
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4385829332
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110506000299
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GREER
Individual professional last name
Provider First Name ROBERT
Individual professional first name
Provider Middle Name C
Individual professional middle name
Provider Name Suffix Text IV
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Individual professional's medical school
Graduation Year 1977
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 624 US HWY 1
Group Practice or individual's line 1 address
City LAKE PARK
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334032916
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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