MEDICARE: DR. PAUL GREENMAN DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO02385	FL

General Provider Information

NPI Number	:	1235128174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL GREENMAN DPM

Provider Business Mailing Address
First Line	:	1212 E BROWARD BLVD
Second Line	:	SUITE 300
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2123
Country	:	US
Telephone Number	:	954-462-1526
Fax Number	:	954-761-9625

Provider Business Practice Location Address
First Line	:	1212 E BROWARD BLVD
Second Line	:	SUITE 300
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2123
Country	:	US
Telephone Number	:	954-462-1526
Fax Number	:	954-761-9625

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

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	07/08/2007

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