Organization Active NPI

Pulido Lung Clinic, PLLC

  • Pulmonary Disease Physician
  • Jacksonville, FL
National Provider Identifier
1710228648
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME102087 Issued in FL
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

Updated by the provider on Sep 3, 2013

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.