Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse S. Greenblum, MD, PA

Organization Obstetrics & Gynecology Physician · NPI 1447649835

Jesse S. Greenblum, MD, PA is an Obstetrics & Gynecology Physician in Fernandina Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1411 S 14th St Ste B
Fernandina Beach, FL 32034-3031
Phone: (904) 261-5605
Fax: (904) 277-0725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME45241 (FL)

Record details

NPI number1447649835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Greenblum — Physician · (904) 261-5605
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015
Mailing address1411 S 14th St, Suite B, Fernandina Beach, FL 32034-3031

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