MEDICARE: DRS. WILLENS & GREENBERG, PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952586505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. WILLENS & GREENBERG, PA

Provider Business Mailing Address
First Line	:	2651 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4840
Country	:	US
Telephone Number	:	954-923-1800
Fax Number	:	954-921-0599

Provider Business Practice Location Address
First Line	:	2651 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4840
Country	:	US
Telephone Number	:	954-923-1800
Fax Number	:	954-921-0599

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS DANIEL PEREZ
Credential	:	DPM
Telephone Number	:	954-923-1800

Provider Enumeration Date	:	01/02/2008
Last Update Date	:	08/29/2022

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Directions to “DRS. WILLENS & GREENBERG, PA ” Practice Location

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