Individual
DR. JESSE SETH GREENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N CLYDE MORRIS BLVD STE 110, DAYTONA BEACH, FL 32114-2765
(386) 425-4450
Mailing address
276 CENTENNIAL PARK DR, DAYTONA BEACH, FL 32124-5102
(904) 891-7777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G140070
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME45241
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00395117A
—
GA
05
—
045088000
—
FL
Enumeration date
08/20/2006
Last updated
03/14/2026
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