Individual
JUAN DANIEL PULIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 13TH AVE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL 32250
(904) 853-6154
(904) 853-6412
Mailing address
1370 13TH AVE SOUTH, SUITE 218, JACKSONVILLE BEACH, FL 32250
(904) 853-6154
(904) 853-6412
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME102087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004596901
—
FL
05
—
022274400
—
FL
Enumeration date
01/23/2007
Last updated
10/29/2018
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