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CHARLES C GREENE MD PHD PA NPI 1942559265


NPI Information

NPI: 1942559265
Provider Name: CHARLES C GREENE MD PHD PA

Doing Business As: JACKSONVILLE ENT SURGERY CENTER

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
11512 LAKE MEAD AVE
STE 531
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 419-2054
Get Directions

CHARLES C GREENE MD PHD PA is an otolaryngology in Jacksonville, FL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CHARLES C GREENE MD PHD PA NPI is 1942559265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jacksonville Ent Surgery Center.

The provider's business location address is:

11512 LAKE MEAD AVE
STE 531
JACKSONVILLE, FL
ZIP 32256-680
Phone: (904) 419-2054

The provider's authorized official is Charles C Greene .
The authorized official title is Owner and has the following contact phone number (904) 419-2054.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 5/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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