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Contact Information

JAMES D GREEN JR, M.D.
10475 CENTURION PKWY N
STE 303
JACKSONVILLE, FL32256-5003
 Phone: 904-399-0350
 Fax: 904-399-5914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JAMES D GREEN JR · (Male)

NPI Number 1265438493
Status Active
Credentials M.D.
Entity Individual
Enumeration date 06/22/2005
Last updated 04/14/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 58964
  • FL License # ME58964
  • FL Medicaid 371813100
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER - (Acute Care)
    800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
  • BAPTIST MEDICAL CENTER BEACHES - (Acute Care)
    1350 13TH AVE S
    JACKSONVILLE BEACH, FL 32250
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    1 SHIRCLIFF WAY
    JACKSONVILLE, FL 32204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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