Provider Demographics
NPI:1134483282
Name:GREER, ROBERT COLLINS V (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:COLLINS
Last Name:GREER
Suffix:V
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 US 1
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2916
Mailing Address - Country:US
Mailing Address - Phone:561-844-2464
Mailing Address - Fax:561-844-1250
Practice Address - Street 1:624 US 1
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2916
Practice Address - Country:US
Practice Address - Phone:561-844-2464
Practice Address - Fax:561-844-1250
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12260208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice