Green, James Douglas

Green, James Douglas is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Ste 303, Jacksonville FL 32256-5003. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otology & Neurotology is his primary health care specialty. Green, James Douglas can be contacted via phone (904) 399-0350.

Contact Information

Primary practice address
10475 Centurion Pkwy N Ste 303 Jacksonville FL 32256-5003
Phone: (904) 399-0350
Fax: (904) 399-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 58964 Florida
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X ME58964 Florida

Profile Details

NPI number 1265438493
LBN Legal business name Green, James Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265438493 NPPES
Florida MEDICAID 371813100

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