Pulido, Juan Daniel

Pulido, Juan Daniel is an sole proprietor health care provider with primary practice located at 1370 13Th Ave South Suite 218, Jacksonville Beach FL 32250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pulido, Juan Daniel can be contacted via phone (904) 853-6154.

Contact Information

Primary practice address
1370 13Th Ave South Suite 218 Jacksonville Beach FL 32250
Phone: (904) 853-6154
Fax: (904) 853-6412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME102087 Florida

Profile Details

NPI number 1336293620
LBN Legal business name Pulido, Juan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Oct 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336293620 NPPES
Florida MEDICAID 022274400
Florida MEDICAID 004596901

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