Active NPI
Pulido Lung Clinic, PLLC
- Pulmonary Disease Physician
- Jacksonville, FL
National Provider Identifier
1710228648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME102087
- Legal business name
- PULIDO LUNG CLINIC, PLLC
- Practice address
- 6216 Saint Augustine Rd
Jacksonville, FL 32217-2509 - Phone
- (904) 655-7920
- Fax
- (904) 551-6851
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Daniel Pulido, MD
- Title
- Owner
- Phone
- (904) 655-7920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME102087 | FL | Primary |
Addresses
Primary practice location
6216 Saint Augustine Rd
Jacksonville, FL 32217-2509
Mailing address
6216 Saint Augustine Rd
Jacksonville, FL 32217-2509
Phone (904) 503-1277
National Provider Directory
National Provider DirectoryLocations
6216 Saint Augustine Rd
Jacksonville, FL 32217
Phone (904) 448-3884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1710228648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172509",
"telephone_number": "904-503-1277",
"fax_number": "904-551-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 SAINT AUGUSTINE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172509",
"telephone_number": "904-655-7920",
"fax_number": "904-551-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULIDO LUNG CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "PULIDO",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-655-7920",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME102087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.