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
—
—
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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