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Organization

PULIDO INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX M PULIDO M.D. (OWNER)
(386) 329-9036
Entity
Organization

Contact information

Practice address
700 ZEAGLER DRIVE, SUITE 1, PALATKA, FL 32177
(386) 329-9036
(386) 329-9038
Mailing address
700 ZEAGLER DRIVE, SUITE 1, PALATKA, FL 32177
(386) 329-9036
(386) 329-9038

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9471740
FL
363LG0600X
Gerontology Nurse Practitioner
9471740
FL
363LP2300X
Primary Care Nurse Practitioner
9471740
FL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
9471740
FL

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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