MEDICARE: DR. ANDREW STEVEN GREENBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME100693	FL

General Provider Information

NPI Number	:	1093745945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW STEVEN GREENBERG M.D.

Provider Business Mailing Address
First Line	:	12098 ORANGE AVE
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34945-2024
Country	:	US
Telephone Number	:	727-900-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	12098 ORANGE AVE
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34945-2024
Country	:	US
Telephone Number	:	727-900-1326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	03/08/2025

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