NPIMap

Organization Active NPI

Emed Urgent and Primary Care Inc

  • Pain Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1295247948
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
PMC1570 Issued in FL
Legal business name
EMED URGENT AND PRIMARY CARE INC
Doing business as
eMed Pain Clinic
Practice address
2624 Atlantic Blvd
Jacksonville, FL 32207-3609
Phone
(904) 513-3240
Fax
(904) 398-7871
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rene Uriel Pulido, MDNPI 1033357553
Title
Owner
Phone
(904) 513-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X PMC1570 FL Primary

Addresses

Primary practice location

2624 Atlantic Blvd
Jacksonville, FL 32207-3609

Mailing address

2624 Atlantic Boulevard
Jacksonville, FL 32207
Phone (904) 513-3240

Other names 1

  • eMed Pain Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emed Urgent and Primary Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1295247948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-513-3240",
            "fax_number": "904-379-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073609",
            "telephone_number": "904-513-3240",
            "fax_number": "904-398-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMED URGENT AND PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "URIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-513-3240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC1570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eMed Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.