CHARLES C GREENE MD PHD PA

JACKSONVILLE, FL
NPI1457600769
Doing Business AsJACKSONVILLE ENT SURGERY CENTER
Entity TypeOrganization
Authorized ContactCHARLES C GREENE
Owner
904-419-2054
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2012-08-31
Last Update Date2022-08-03
Business Address
CHARLES C GREENE MD PHD PA
11512 LAKE MEAD AVE STE 531
JACKSONVILLE, FL 32256-9733
Phone number: 904-419-2054
Mailing Address
CHARLES C GREENE MD PHD PA
11512 LAKE MEAD AVE UNIT 531
JACKSONVILLE, FL 32256-9733
Phone number: 904-419-2054