Jacksonville Ent Surgery Center

LBN: Charles C Greene Md Phd Pa
Jacksonville Ent Surgery Center is an health care organization with primary practice located at 11512 Lake Mead Ave Ste 531, Jacksonville FL 32256-9733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Charles C Greene Md Phd Pa can be contacted via phone (904) 419-2054, or through Greene, Charles C via phone (904) 419-2054.

Contact Information

Primary practice address
11512 Lake Mead Ave Ste 531 Jacksonville FL 32256-9733
Phone: (904) 419-2054
Fax: (904) 419-2057
Website:
Map and Directions
Authorized official contact:
Name: Greene, Charles C
Phone: (904) 419-2054

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1457600769
LBN Legal business name Charles C Greene Md Phd Pa
DBA Doing business as Jacksonville Ent Surgery Center
Authorized official Greene, Charles C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2012
Last updated Aug 3rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457600769 NPPES
Florida MEDICAID 008103800
Florida Other 003PF

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