JESSE S. GREENBLUM, MD, PA
NPI 1447649835
Obstetrics & Gynecology in Fernandina Beach, FL

Active since January 22, 2015
1411 S 14TH ST, SUITE B, FERNANDINA BEACH, FL 32034(904) 261-5605(904) 277-0725 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse S. Greenblum, Md, Pa NPPES

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

JESSE S. GREENBLUM, MD, PA (NPI 1447649835) is a healthcare organization registered as an obstetrics & gynecology in Fernandina Beach, Florida and active in the NPI registry since January 2015. The organization lists Jesse Greenblum, Physician, as its authorized official.

NPPES Registry Identity

NPI1447649835
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJESSE S. GREENBLUM, MD, PA
Location Address1411 S 14TH ST, SUITE BFernandina Beach, FL 32034-3031
Mailing Address1411 S 14th St, Suite BFernandina Beach, FL 32034-3031 · (904) 261-5605 · Fax (904) 277-0725
Fax(904) 277-0725
Organization SubpartNo
Authorized OfficialJesse GreenblumPhysician · (904) 261-5605
Enumeration DateJanuary 22, 2015
NPI 1447649835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME45241
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1411 S 14TH ST, Fernandina Beach, FL 32034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
1411 S 14TH ST, PROFESSIONAL PLAZA, BUILDING K
FERNANDINA BEACH, FL 32034
Optometrist (Corneal and Contact Management)
1411 S 14TH ST, SUITE G
FERNANDINA BEACH, FL 32034
Surgery
1411 S 14TH ST, STE C
FERNANDINA BEACH, FL 32034
Colon & Rectal Surgery
1411 S 14TH ST, STE C
FERNANDINA BEACH, FL 32034

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 Jesse S. Greenblum, MD, PA's NPI number?

The NPI number for Jesse S. Greenblum, MD, PA is 1447649835. It was assigned to this organization in the NPPES registry on January 22, 2015.

Where is Jesse S. Greenblum, MD, PA located?

Jesse S. Greenblum, MD, PA is located at 1411 S 14th St Suite B, Fernandina Beach, FL 32034. The listed phone number is (904) 261-5605.

What is Jesse S. Greenblum, MD, PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Jesse S. Greenblum, MD, PA was last updated on January 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.