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JACKSONVILLE HEARING & BALANCE INSTITUTE
NPI 1417072190
Otolaryngology - Otology & Neurotology in Jacksonville, FL

Active since March 20, 2007
10475 CENTURION PKWY N, SUITE 303, JACKSONVILLE, FL 32256(904) 399-0350(904) 399-5914 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacksonville Hearing & Balance Institute NPPES

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

JACKSONVILLE HEARING & BALANCE INSTITUTE (NPI 1417072190) is a healthcare organization registered as an otology & neurotology in Jacksonville, Florida and active in the NPI registry since March 2007. The organization lists J Douglas Green, Otolaryngologist, as its authorized official.

NPPES Registry Identity

NPI1417072190
Entity TypeOrganization
Primary Taxonomy207YX0901X
Legal Business NameJ DOUGLAS GREEN JR MD PA
Location Address10475 CENTURION PKWY N, SUITE 303Jacksonville, FL 32256
Mailing Address10475 Centurion Pkwy N, Suite 303Jacksonville, FL 32256 · (904) 399-0350 · Fax (904) 399-5914
Phone(904) 399-0350
Fax(904) 399-5914
Organization SubpartNo
Authorized OfficialJ Douglas GreenOtolaryngologist · (904) 399-0350
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 23, 2007
✔ NPI 1417072190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in FL · ME0058964
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
10475 CENTURION PKWY N, Jacksonville, FL 32256
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Other Names 1

Doing Business AsJacksonville Hearing & Balance Institute

Other Identifiers 3

Medicare UPINE75228FL
Medicare ID-Type Unspecified12134FL
Medicaid371813100FLFL

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.

AFTAN NOELLE DELANEY DPT
Physical Therapist
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
ANANYA KUMAR
Technician, Other
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 854-2050
DR. CONCEPCION LATOZA AGNILA M.D.
Pediatrics
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (904) 450-8090
THE SURGERY CENTER OF JACKSONVILLE, LLC
Clinic/Center (Ambulatory Surgical)
10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
Duval County (352) 567-6502
DR. BEVERLY DENISE MCMILLIN MD
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437
CORY GRANT PETERS PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRIAN D TARDIF PA
Physician Assistant (Surgical)
10475 CENTURION PKWY N, SUITE 220
JACKSONVILLE, FL 32256
Duval County (904) 634-0640
BRUCE R MADDERN MD PA
Otolaryngology (Pediatric Otolaryngology)
10475 CENTURION PKWY N, SUITE 302
JACKSONVILLE, FL 32256
Duval County (904) 398-5437

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 J Douglas Green Jr MD PA's NPI number?

The NPI number for J Douglas Green Jr MD PA is 1417072190. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Jacksonville Hearing & Balance Institute.

Where is J Douglas Green Jr MD PA located?

J Douglas Green Jr MD PA is located at 10475 Centurion Pkwy N Suite 303, Jacksonville, FL 32256. The listed phone number is (904) 399-0350.

What is J Douglas Green Jr MD PA's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

When was this NPI record last updated?

The NPPES record for J Douglas Green Jr MD PA was last updated on August 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.