Greenwald, David Lance

Greenwald, David Lance is an sole proprietor health care provider with primary practice located at 100 Whetstone Pl Ste 310, St Augustine FL 32086-5774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Greenwald, David Lance can be contacted via phone (904) 217-7450.

Contact Information

Primary practice address
100 Whetstone Pl Ste 310 St Augustine FL 32086-5774
Phone: (904) 217-7450
Fax: (904) 217-7483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME65494 Florida

Profile Details

NPI number 1962516310
LBN Legal business name Greenwald, David Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962516310 NPPES
Florida Other 43658 BCBS
Florida MEDICAID 002101800 BCBS
Florida Other P00956145 BCBS

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