EMED URGENT AND PRIMARY CARE PA NPI 1649782392

NPI Information

  • NPI: 1649782392
  • Provider Name: EMED URGENT AND PRIMARY CARE PA
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Doing Business As: EMED LUNG CLINIC
  • CLIA Number: 10D2095186
  • Address: 2624 ATLANTIC BOULEVARD
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 513-3240

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NPI Details

EMED URGENT AND PRIMARY CARE PA is a pulmonary disease internal medicine in Jacksonville, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. EMED URGENT AND PRIMARY CARE PA NPI is 1649782392. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Emed Lung Clinic.

The provider's business location address is:

2624 ATLANTIC BOULEVARD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 513-3240
Fax: (904) 379-2911

The provider's authorized official is Rene U Pulido .
The authorized official title is Medical Director and has the following contact phone number (904) 513-3240.

The CLIA number assigned to this NPI record is 10D2095186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

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This page was last updated on: 3/30/2025

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