Provider Demographics
NPI:1780738054
Name:GREIFF, JEFFREY DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DEAN
Last Name:GREIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6782 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6066
Mailing Address - Country:US
Mailing Address - Phone:954-583-4647
Mailing Address - Fax:954-583-8280
Practice Address - Street 1:6782 W SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6066
Practice Address - Country:US
Practice Address - Phone:954-583-4647
Practice Address - Fax:954-583-8280
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0033817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine