Greene, Calvin Cameron

Greene, Calvin Cameron is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 110&115 , Jacksonville Beach FL 32250-3233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Greene, Calvin Cameron can be contacted via phone (904) 247-5514.

Contact Information

Primary practice address
1361 13Th Ave S Ste 110&115 Jacksonville Beach FL 32250-3233
Phone: (904) 247-5514
Fax: (904) 247-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME55935 Florida

Profile Details

NPI number 1629039276
LBN Legal business name Greene, Calvin Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 23rd, 2023 - about last year

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 1629039276 NPPES
Florida MEDICAID 062032700

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