J Douglas Green Jr Md Pa in Jacksonville - Otology & Neurotology
J Douglas Green Jr Md Pa - NPI 1417072190
J Douglas Green Jr Md Pa is a Otology & Neurotology in Jacksonville, Florida. J Douglas Green Jr Md Pa practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for J Douglas Green Jr Md Pa is 1417072190. The last update date is 2007-08-23.
J Douglas Green Jr Md Pa's current location address is 10475 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9043990350 and fax number 9043995914. The mailing address for J Douglas Green Jr Md Pa is 10475 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | J Douglas Green Jr Md Pa |
|---|---|
| Address | 10475 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9043990350 |
| Fax Number | 9043995914 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OTOLARYNGO |
|---|---|
| Authorized Official Name | Green Douglas J |
| Credentials | M.D. |
| Telephone Number | 9043990350 |
NPI Number Detail
| NPI Number | 1417072190 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 10475 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32256 |
| Phone Number | 9043990350 |
| Fax Number | 9043995914 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | 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, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371813100FL | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to J Douglas Green Jr Md Pa by the Centers for Medicare & Medicaid Services?
The J Douglas Green Jr Md Pa has been assigned the NPI (National Provider Identifier) 1417072190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where J Douglas Green Jr Md Pa is located?
The J Douglas Green Jr Md Pa is situated at the following address: 10475 Centurion Pkwy N, Jacksonville, FL, 32256.
What is J Douglas Green Jr Md Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for J Douglas Green Jr Md Pa is Otology & Neurotology, and the taxonomy code that categorizes this field of expertise is 207Yx0901X.
On what date did the J Douglas Green Jr Md Pa receive its 1417072190 assignment from the Centers for Medicare & Medicaid Services?
The J Douglas Green Jr Md Pa was assigned its 1417072190 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information pertaining to J Douglas Green Jr Md Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to J Douglas Green Jr Md Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-23.
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