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Organization
NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA
Active
Organization
NORTH FLORIDA OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. CAMERON GREENE JR. M.D. (PRESIDENT)
(904) 472-2300
Entity
Organization
Contact information
Practice address
11437 CENTRAL PKWY, SUITE 105, JACKSONVILLE, FL 32224-2706
(904) 472-2300
(904) 472-2330
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370581100
—
FL
05
—
370581101
—
FL
05
—
370581102
—
FL
05
—
370581103
—
FL
05
—
370581104
—
FL
05
—
370581105
—
FL
05
—
370581106
—
FL
05
—
370581107
—
FL
05
—
370581108
—
FL
05
—
370581109
—
FL
05
—
370581110
—
FL
05
—
370581112
—
FL
05
—
370581113
—
FL
05
—
370581114
—
FL
05
—
370581115
—
FL
05
—
370581116
—
FL
05
—
370581117
—
FL
05
—
370581118
—
FL
05
—
370581119
—
FL
05
—
370581120
—
FL
05
—
370581121
—
FL
05
—
370581123
—
FL
05
—
370581125
—
FL
05
—
370581126
—
FL
05
—
370581128
—
FL
05
—
370581129
—
FL
Enumeration date
03/27/2006
Last updated
04/06/2018
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