Individual provider Active NPI

Mario Alberto Pulido, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1366602336
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96518 Issued in FL
Practice address
2624 Atlantic Blvd
Jacksonville, FL 32207-3668
Phone
(904) 513-3240
Fax
(904) 379-2911
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME96518 FL
Internal Medicine Physician 207R00000X ME96518 FL Primary

Addresses

Primary practice location

2624 Atlantic Blvd
Jacksonville, FL 32207-3668

Mailing address

2624 Atlantic Blvd
Jacksonville, FL 32207-3668
Phone (904) 513-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000190 FL Practitioner - Internal MedicinePractitioner - Hospitalist 3274681820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Florida, LLCGroup PAC ID 7517202112, 104 clinicians
Hni Hospital Services of Florida LLCGroup PAC ID 0244661353, 44 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (512) 730-3056

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 27, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist Current Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 27, 2025 Accepting new patients
Bayne Jones Army Community Hospital Internal Medicine PastSince Mar 29, 2020 Accepting new patients
Omega Health and Nutrition LLC PastSince Sep 9, 2020 Accepting new patients
Emerald Coast Hospitalist Inc Hospitalist PastSince Dec 1, 2012 Accepting new patients
Baptist Physician Associates LLC Hospitalist Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1366602336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073668",
            "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": "322073668",
            "telephone_number": "904-513-3240",
            "fax_number": "904-379-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIDO",
        "first_name": "MARIO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME96518",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.