| Organization Name: | ROBERT C GREER IV,D.O.,P.A. |
| NPI Number: | 1427349109 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT COLLINS GREER (OWNER) |
| Mailing Address: | 624 U.s.highway #1 Lake Park |
| State: | FL US |
| Postal Code: | 33403 |
| Phone Number: | 5618442464 |
| Fax Number: | 5618441250 |
| NPI Enumeration Date: | 04/28/2011 |
| NPI Last Update Date: | 04/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | OS3909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |