Provider Demographics
NPI:1578394185
Name:FIGARO, GREGER
Entity type:Individual
Prefix:DR
First Name:GREGER
Middle Name:
Last Name:FIGARO
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 1:2701 E SUNRISE LAKES DR APT 208
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-2469
Mailing Address - Country:US
Mailing Address - Phone:954-955-1237
Mailing Address - Fax:
Practice Address - Street 1:601 N FLAMINGO RD STE 413
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1012
Practice Address - Country:US
Practice Address - Phone:954-436-7700
Practice Address - Fax:954-432-1769
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD08056156FX1800X
PR2192-PA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant