Organization
CHARLES C GREENE, MD, PHD
Active
Other names
Jacksonville ENT Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C GREENE MD, PHD (OWNER)
(904) 419-2054
Entity
Organization
Contact information
Practice address
4131 UNIVERSITY BLVD S, BUILDING 18, JACKSONVILLE, FL 32216-4326
(904) 419-2054
Mailing address
11512 LAKE MEAD AVE, SUITE 531, JACKSONVILLE, FL 32256-9680
(904) 419-2054
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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