Jacksonville Lung Clinic Pllc
LBN: Jacksonville Lung Clinic Pllc
Jacksonville Lung Clinic Pllc is an health care organization with primary practice located at 2624 Atlantic Blvd Ste 6 , Jacksonville FL 32207-3633. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Jacksonville Lung Clinic Pllc can be contacted via phone (904) 513-3240, or through Pulido, Juan Daniel via phone (904) 513-3240.
Contact Information
Primary practice address
2624 Atlantic Blvd Ste 6
Jacksonville FL 32207-3633
Phone: (904) 513-3240
Fax: (904) 253-3098
Website:
Authorized official contact:
Name: Pulido, Juan Daniel Doctor of Medicine (MD)
Phone: (904) 513-3240
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1710494000 |
|---|---|
| LBN Legal business name | Jacksonville Lung Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Pulido, Juan Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 8th, 2018 |
| Last updated | Mar 28th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710494000 | NPPES |
| Florida | MEDICAID | 02227440 |
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