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JACKSONVILLE ENT SURGERY CENTER
NPI 1235576091
Otolaryngology in Jacksonville, FL

Active since June 03, 2013
4131 UNIVERSITY BLVD S, BUILDING 18, JACKSONVILLE, FL 32216(904) 419-2054 Get Directions Write a Review

NPPES record last updated: June 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Ent Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE ENT SURGERY CENTER (NPI 1235576091) is a healthcare organization registered as an otolaryngology in Jacksonville, Florida and active in the NPI registry since June 2013. The organization lists Charles C Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1235576091
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCHARLES C GREENE, MD, PHD
Location Address4131 UNIVERSITY BLVD S, BUILDING 18Jacksonville, FL 32216-4326
Mailing Address11512 Lake Mead Ave, Suite 531Jacksonville, FL 32256-9680 · (904) 419-2054
Phone(904) 419-2054
Organization SubpartNo
Authorized OfficialCharles C GreeneOwner · (904) 419-2054
Enumeration DateJune 3, 2013
✔ NPI 1235576091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4131 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Other Names 1

Doing Business AsJacksonville Ent Surgery Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA NICOLE BROWN
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
JELTSJE WILLEMIEN DERKSEN PT
Physical Therapist
4131 UNIVERSITY BLVD S, SUITE 17
JACKSONVILLE, FL 32216
Duval County (904) 722-1515
MISS NAKIESHA LYNN THOMPSON
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 923-7618
JOHN C HACKENBERG D.O.
Family Medicine
4131 UNIVERSITY BLVD S, BLDG #8
JACKSONVILLE, FL 32216
Duval County (904) 733-3992
DR. HENRY LEPELY M.D.
Psychiatry & Neurology (Psychiatry)
4131 UNIVERSITY BLVD S, BLDG 7
JACKSONVILLE, FL 32216
Duval County (904) 737-1300
WALTER MCCLINTON MS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 716-3181
SYDNE M HENNINGS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
NEPHROLOGY GROUP OF NORTHEAST
Internal Medicine (Nephrology)
4131 UNIVERSITY BLVD S, SUITE 6
JACKSONVILLE, FL 32216
Duval County (904) 737-2722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles C Greene, MD, Phd's NPI number?

The NPI number for Charles C Greene, MD, Phd is 1235576091. It was assigned to this organization in the NPPES registry on June 3, 2013. The provider is doing business as Jacksonville Ent Surgery Center.

Where is Charles C Greene, MD, Phd located?

Charles C Greene, MD, Phd is located at 4131 University Blvd S Building 18, Jacksonville, FL 32216. The listed phone number is (904) 419-2054.

What is Charles C Greene, MD, Phd's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Charles C Greene, MD, Phd was last updated on June 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.