Organization
EMED URGENT AND PRIMARY CARE INC
Active
Parent organization
EMED URGENT AND PRIMARY CARE INC
Other names
Emed Multispecialty Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMED URGENT AND PRIMARY CARE INC
Authorized official
MR. RENE U PULIDO M.D. (MEDICAL DIRECTOR)
(904) 513-3240
Entity
Organization
Contact information
Practice address
2624 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3609
(904) 513-3240
(904) 379-2911
Mailing address
2624 ATLANTIC BOULEVARD, JACKSONVILLE, FL 32207
(904) 513-3240
(904) 379-2911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
10D2009297
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002464700
—
FL
05
—
004248300
—
FL
01
—
148KP
BLUE CROSS BLUE SHEILD
FL
01
—
338970
AVMED
FL
01
—
9818064
CIGNA
FL
Enumeration date
07/06/2010
Last updated
08/10/2021
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