Individual
DR. JAMES DOUGLAS GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10475 CENTURION PKWY N, STE 303, JACKSONVILLE, FL 32256-5003
(904) 399-0350
(904) 399-5914
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
58964
FL
207YX0901X
Otology & Neurotology Physician
Primary
ME58964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371813100
—
FL
Enumeration date
06/22/2005
Last updated
04/14/2026
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