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

Charles C Greene, MD

Individual provider Otolaryngology Physician · NPI 1306876651

Charles C Greene, MD is an Otolaryngology in Jacksonville, Florida. Graduated from University of Washington School of Medicine in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Trained at
University of Washington School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11512 Lake Mead Ave Ste 531
Jacksonville, FL 32256-9680
Phone: (904) 419-2054
Fax: (904) 419-2057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME82871 (FL)

Record details

NPI number1306876651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2006
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address11512 Lake Mead Ave Unit 531, Jacksonville, FL 32256-9733

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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