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Organization

NORTHEAST FLORIDA LUNG CLINIC

Active
Other names
NEFL Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN DANIEL PULIDO MD (MEDICAL DIRECTOR/OWNER)
(904) 655-7920
Entity
Organization

Contact information

Practice address
1370 13TH AVE S STE 218, JACKSONVILLE BEACH, FL 32250-3206
(904) 586-0031
Mailing address
3948 3RD ST S STE 360, JACKSONVILLE BEACH, FL 32250-5847
(904) 586-0031

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
05/24/2018
Last updated
08/08/2018
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