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1306876651
CHARLES C GREENE
JACKSONVILLE, FL
NPI
1306876651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: FL ME82871)
Enumeration Date
2006-07-03
Last Update Date
2022-08-03
Business Address
CHARLES C GREENE MD
11512 LAKE MEAD AVE SUITE 531
JACKSONVILLE, FL 32256-9680
Phone number: 904-419-2054
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Mailing Address
CHARLES C GREENE MD
11512 LAKE MEAD AVE UNIT 531
JACKSONVILLE, FL 32256-9733
Phone number: 904-419-2054
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