| NPI | 1821206806 |
|---|---|
| Former Legal Business Name | JACK GREENER MDPA |
| Entity Type | Organization |
| Authorized Contact | JACK ABRAMSON Secretary 305-935-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME57503) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-10-11 |