JACKSONVILLE LUNG CLINIC LLC
NPI 1861991937
Internal Medicine - Critical Care Medicine in Jacksonville Beach, FL

Q: What is Jacksonville Lung Clinic LLC's NPI number?

The NPI number for Jacksonville Lung Clinic LLC is 1861991937. It was assigned to this organization in the NPPES registry on February 5, 2018.

Q: What is Jacksonville Lung Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since February 05, 2018

1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250(904) 627-2900(904) 253-3098 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Apr 4, 2023, Apr 8, 2022 and 3 more (6 updates tracked since 2018).

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About Jacksonville Lung Clinic Llc NPPES

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

JACKSONVILLE LUNG CLINIC LLC (NPI 1861991937) is a healthcare organization registered as a critical care medicine in Jacksonville Beach, Florida and active in the NPI registry since February 2018. The organization maintains a secondary practice location in Austin and lists Chad Pew, Vice President, as its authorized official.

NPPES Registry Identity

NPI1861991937

Entity TypeOrganization

Primary Taxonomy207RC0200X

Legal Business NameJACKSONVILLE LUNG CLINIC LLC

Location Address1350 13TH AVE SJacksonville Beach, FL 32250-3203

Mailing Address7500 Rialto BlvdAustin, TX 78735-8531 · (512) 730-3060

Phone(904) 627-2900

Fax(904) 253-3098

Organization SubpartNo

Authorized OfficialChad PewVice President · (307) 262-9410

Enumeration DateFebruary 5, 2018

Last NPPES UpdateJanuary 7, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1861991937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

1350 13TH AVE S, Jacksonville Beach, FL 32250

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Secondary Practice Location 1

Location 17500 Rialto Blvd Ste 1-140Austin, TX 78735 · Phone (512) 730-3060 · Fax (888) 730-1925

Other Identifiers 1

Medicaid022274400FL

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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 20

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

JACKSONVILLE ANESTHESIA CORPORATION INC

Anesthesiology

1350 13TH AVE S
JACKSONVILLE, FL 32250

Duval County (855) 496-3578

SHAUNA TRAVIS RN

Registered Nurse