Jacksonville Lung Clinic PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

JACKSONVILLE LUNG CLINIC PLLC

Practice address

2624 Atlantic Blvd Ste 6
Jacksonville, FL 32207-3633

Phone

(904) 513-3240

Fax

(904) 253-3098

NPI assigned

Jan 8, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Daniel Pulido, MD

Title

President/Owner

Phone

(904) 513-3240

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1710494000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-398-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ATLANTIC BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073633",
            "telephone_number": "904-513-3240",
            "fax_number": "904-253-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE LUNG CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-513-3240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Institute of Family Care, P.a.
• Jacksonville Integrative Health LLC
• Jacksonville Internal Medicine
• Jacksonville Kidney Center LLC
• Jacksonville Kids Pediatrics LLC
• Jacksonville Management and Staffing
• Jacksonville Medical & Wellness Massage, Inc.
• Jacksonville Mobile Imaging Services Inc
• Jacksonville Mobile Imaging Services Inc
• Jacksonville Multispecialty Group, LLC

• Pulmonary Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.