Greene, Charles C

Greene, Charles C is an sole proprietor health care provider with primary practice located at 11512 Lake Mead Ave Suite 531, Jacksonville FL 32256-9680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Greene, Charles C can be contacted via phone (904) 419-2054.

Contact Information

Primary practice address
11512 Lake Mead Ave Suite 531 Jacksonville FL 32256-9680
Phone: (904) 419-2054
Fax: (904) 419-2057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME82871 Florida

Profile Details

NPI number 1306876651
LBN Legal business name Greene, Charles C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Aug 3rd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306876651 NPPES
Florida MEDICAID 264139900

Popular Providers