Organization
J DOUGLAS GREEN JR MD PA
Active
Other names
Jacksonville Hearing & Balance Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J DOUGLAS GREEN JR. M.D. (OTOLARYNGOLOGIST)
(904) 399-0350
Entity
Organization
Contact information
Practice address
10475 CENTURION PKWY N, SUITE 303, JACKSONVILLE, FL 32256
(904) 399-0350
(904) 399-5914
Mailing address
10475 CENTURION PKWY N, SUITE 303, JACKSONVILLE, FL 32256
(904) 399-0350
(904) 399-5914
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
ME0058964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371813100FL
—
FL
Enumeration date
03/20/2007
Last updated
08/23/2007
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