Provider Demographics
NPI:1609842103
Name:GREENWOOD, WILLIAM H
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 560130
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-0130
Mailing Address - Country:US
Mailing Address - Phone:305-630-9244
Mailing Address - Fax:305-630-9223
Practice Address - Street 1:5900 E JUNIOR COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4342
Practice Address - Country:US
Practice Address - Phone:305-630-9244
Practice Address - Fax:305-630-9223
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0022357207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD64191Medicare UPIN
FL44153AMedicare ID - Type Unspecified