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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629039276 | NPPES |
| Florida | MEDICAID | 062032700 |
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