Organization
PULIDO LUNG CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN DANIEL PULIDO MD (OWNER)
(904) 655-7920
Entity
Organization
Contact information
Practice address
6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2509
(904) 655-7920
(904) 551-6851
Mailing address
6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2509
(904) 503-1277
(904) 551-6851
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME102087
FL
Other
Enumeration date
03/01/2013
Last updated
09/03/2013
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