Organization
JESSE S. GREENBLUM, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE GREENBLUM M.D. (PHYSICIAN)
(904) 261-5605
Entity
Organization
Contact information
Practice address
1411 S 14TH ST, SUITE B, FERNANDINA BEACH, FL 32034-3031
(904) 261-5605
(904) 277-0725
Mailing address
1411 S 14TH ST, SUITE B, FERNANDINA BEACH, FL 32034-3031
(904) 261-5605
(904) 277-0725
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME45241
FL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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