Individual
DR. JESUS GARCIA PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6444 BEACH BLVD, JACKSONVILLE, FL 32216-2891
(904) 805-9600
(904) 805-0084
Mailing address
6444 BEACH BLVD, JACKSONVILLE, FL 32216-2891
(904) 805-9600
(904) 805-0084
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME53377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062480200
—
FL
01
—
74682
JCC GROUP ID#
FL
Enumeration date
02/09/2006
Last updated
09/27/2012
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