OrganizationActive
Charles C Greene, MD, PHD
NPI 1235576091 · Otolaryngology Physician · Jacksonville, FL
Provider details
- NPI number
- 1235576091
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Greene, Owner(904) 419-2054
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4131 University Blvd S
Building 18
Jacksonville, FL 32216-4326
Phone: (904) 419-2054
Street-level locationGet directions
Mailing address
11512 Lake Mead Ave
Jacksonville, FL 32256-9680
Other names (DBA / former)
- Doing business as
- Jacksonville Ent Surgery Center
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2013-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.