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Greene Emerald Med Spa Jacksonville: Clinicians & License Verification

Greene Emerald Med Spa is a physician practice in Jacksonville, Florida.

Address
11512 Lake Mead Ave Unit 536, Jacksonville, FL 32256

Visit clinic website

Verification Summary for Greene Emerald Med Spa

Status
Verified
Named clinicians
2
Current license matches
2 of 2 named clinicians matched to current Florida professional license records.
Medical Director
Not stated by clinic
Last checked
September 28, 2026
Reference
VI-5B9A79
Verified Injector: credentials verified, last checked 09.28.2026. Ref VI-5B9A79. A licensed physician and every clinician this clinic names on its website with a medical or nursing credential or the title Dr. were matched to current state license records.

Services Offered

Injectables

  • Neurotoxin injections · Botox, Dysport
  • Dermal filler
  • Lip filler

Skin

  • Facials
  • Chemical peels
  • Dermaplaning
  • Microneedling · SkinPen
  • Acne treatment

Body

  • Hyperhidrosis

Spa services

  • Massage

The website of Greene Emerald Med Spa in Jacksonville lists ten services: neurotoxin injections, dermal filler, lip filler, facials, chemical peels, dermaplaning, microneedling, acne treatment, hyperhidrosis, and massage.

Greene Emerald Med Spa Clinicians and Florida License Status

Verified Injector lists two clinicians named by Greene Emerald Med Spa. Both matched current Florida professional license records.

Charles C. Greene, MD

Verification result: Current license matched

Florida Medical License: Clear

No role stated by the clinic

  • License #82871
  • Expires January 31, 2028
  • NPI: 1306876651
  • Primary taxonomy: Otolaryngology
  • Verified September 28, 2026
View verification evidence

Clinic-reported

Clinic-stated role
No role stated on the pages reviewed
Credential
MD
Named as medical director
Not stated
Named as an injector
Not stated on the pages reviewed
Date checked
September 30, 2026
Charles C. Greene, MD,

Federal provider record

NPI
1306876651
Primary taxonomy
Otolaryngology
Date checked
September 28, 2026

State professional license

Credential
MD
State license
Medical Doctor, Florida Department of Health, Division of Medical Quality Assurance
License number
82871
Status
Clear
Expires
01/31/2028
Checked
September 28, 2026

Board action recorded: Yes, see the board record.

Medical Doctor license 82871; CHARLES C GREENE; status: Clear; expires 01/31/2028; board action: Y; practice city JACKSONVILLE

State data published August 25, 2026.

Verification finding

Result
Current license matched (Clear)

Greene Emerald Med Spa names Charles C. Greene, MD, on its website. Verified Injector matched this clinician to license 82871 at the Florida Department of Health, Division of Medical Quality Assurance, which that board recorded as Clear when checked September 28, 2026.

Tara Condrey, PA-C, NP, PA

Verification result: Current license matched

Florida Physician Assistant License: Clear

Injector

  • License #9104580
  • Expires January 31, 2028
  • NPI: 1083871693
  • Primary taxonomy: Physician Assistant
  • Verified September 28, 2026
View verification evidence

Clinic-reported

Clinic-stated role
Injector
Credential
PA-C, NP, PA
Named as medical director
Not stated
Named as an injector
Yes
Date checked
September 30, 2026
Tara Condrey, PA-C

Federal provider record

NPI
1083871693
Primary taxonomy
Physician Assistant
Date checked
September 28, 2026

State professional license

Credential
PA-C, NP, PA
State license
Physician Assistant, Florida Department of Health, Division of Medical Quality Assurance
License number
9104580
Status
Clear
Expires
01/31/2028
Checked
September 28, 2026

Board action recorded: None found in the file we read.

Physician Assistant license 9104580; TARA W CONDREY; status: Clear; expires 01/31/2028; board action: N; practice city JACKSONVILLE

State data published August 25, 2026.

Verification finding

Result
Current license matched (Clear)

Greene Emerald Med Spa names Tara Condrey, PA-C, NP, PA, with the stated role Injector. Verified Injector matched this clinician to license 9104580 at the Florida Department of Health, Division of Medical Quality Assurance, which that board recorded as Clear when checked September 28, 2026.

What Verified Means for Greene Emerald Med Spa

2 of 2 named clinicians matched to current Florida professional license records.

Last checked: September 28, 2026

Greene Emerald Med Spa met Verified Injector's verification rule when checked on September 28, 2026: every clinician it names with a medical or nursing credential, or whom it calls Dr., matched a current state license record, and a physician license was matched.

What We Checked

  • We read the clinic's own website.
  • We identify the clinicians it publicly names.
  • We check each one who holds a medical or nursing credential, or whom the clinic calls Dr., against the state licensing board's records.

Staff without a medical or nursing credential, such as aestheticians, are not checked, and we do not verify anyone the clinic does not name.

What Verification Does Not Mean

  • It does not evaluate clinical skill, judgement or technique.
  • It does not evaluate treatment outcomes or patient experience.
  • It does not guarantee the safety or quality of any treatment.
  • It does not cover anyone the clinic does not name on its website.
  • It does not report disciplinary history beyond what the licensing board's own record shows.

How verification works

Sources Used for Greene Emerald Med Spa

Greene Emerald Med Spa Website

Used for: clinic identity, clinician names, clinic-stated credentials, clinic-stated roles, the services listed, phone number

Checked Sep. 30, 2026

Florida Department of Health, Division of Medical Quality Assurance

Used for: license credential, license number, license status, expiration, published board actions

Checked Sep. 28, 2026 · Published Aug. 25, 2026

National Plan and Provider Enumeration System

Used for: identity confirmation, the NPI, the primary taxonomy

Checked Sep. 28, 2026

NPI data is used for identity confirmation and provider taxonomy. It does not independently establish that a clinician works at a particular clinic or location.

Greene Emerald Med Spa Clinic Information

Clinic
Greene Emerald Med Spa
Business type
Physician practice
Address
11512 Lake Mead Ave Unit 536, Jacksonville, FL 32256
City
Jacksonville
State
Florida
Market
Florida
Website
greeneemeraldmedspa.com
Phone
(904) 707-4367
Medical Director
Not stated by clinic

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