| NPI | 1609125913 |
|---|---|
| Doing Business As | JACKSONVILLE ENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES C GREENE Owner 912-691-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2013-06-04 |