JACKSONVILLE LUNG CLINIC PLLC
NPI 1710494000
Internal Medicine - Pulmonary Disease in Jacksonville, FL

Active since January 08, 2018
2624 ATLANTIC BLVD STE 6, JACKSONVILLE, FL 32207(904) 513-3240(904) 253-3098 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2018, Jan 8, 2018 (2 updates tracked since 2018).

About Jacksonville Lung Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE LUNG CLINIC PLLC (NPI 1710494000) is a healthcare organization registered as a pulmonary disease in Jacksonville, Florida and active in the NPI registry since January 2018. The organization lists Juan Daniel Pulido, President/owner, as its authorized official.

NPPES Registry Identity

NPI1710494000
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJACKSONVILLE LUNG CLINIC PLLC
Location Address2624 ATLANTIC BLVD STE 6Jacksonville, FL 32207-3633
Mailing Address2624 Atlantic Blvd Ste 6Jacksonville, FL 32207-3633 · (904) 513-3240 · Fax (904) 398-7871
Fax(904) 253-3098
Organization SubpartNo
Authorized OfficialJuan Daniel PulidoPresident/owner · (904) 513-3240
Enumeration DateJanuary 8, 2018
Last NPPES UpdateMarch 28, 20182 updates tracked since enumeration
NPI 1710494000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
2624 ATLANTIC BLVD STE 6, Jacksonville, FL 32207

Other Identifiers 1

Medicaid02227440FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Pain Medicine)
2624 ATLANTIC BLVD STE 6
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacksonville Lung Clinic PLLC's NPI number?

The NPI number for Jacksonville Lung Clinic PLLC is 1710494000. It was assigned to this organization in the NPPES registry on January 8, 2018.

Where is Jacksonville Lung Clinic PLLC located?

Jacksonville Lung Clinic PLLC is located at 2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207. The listed phone number is (904) 513-3240.

What is Jacksonville Lung Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

What insurance does Jacksonville Lung Clinic PLLC accept?

Health plans from AvMed list Jacksonville Lung Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacksonville Lung Clinic PLLC was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.