JACKSONVILLE ENT SURGERY CENTER
NPI 1609125913
Otolaryngology in Jacksonville, FL

Q: What is Charles C Greene MD Phd PA's NPI number?

The NPI number for Charles C Greene MD Phd PA is 1609125913. It was assigned to this organization in the NPPES registry on August 31, 2012. The provider is doing business as Jacksonville Ent Surgery Center.

Q: What is Charles C Greene MD Phd PA's specialty?

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

Active since August 31, 2012

6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277(904) 419-2054(904) 419-2057 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacksonville Ent Surgery Center NPPES

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

JACKSONVILLE ENT SURGERY CENTER (NPI 1609125913) is a healthcare organization registered as an otolaryngology in Jacksonville, Florida and active in the NPI registry since August 2012. The organization lists Charles C Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1609125913

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameCHARLES C GREENE MD PHD PA

Location Address6484 FORT CAROLINE RDJacksonville, FL 32277-2042

Mailing AddressPo Box 864935Orlando, FL 32886-4935 · (904) 419-2054 · Fax (904) 419-2057

Phone(904) 419-2054

Fax(904) 419-2057

Organization SubpartNo

Authorized OfficialCharles C GreeneOwner · (912) 691-5711

Enumeration DateAugust 31, 2012

Last NPPES UpdateJune 4, 2013

✔ NPI 1609125913 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.

6484 FORT CAROLINE RD, Jacksonville, FL 32277

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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.

MICHELLE L EDMONDS M.D.

Nurse Practitioner