Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Lung Clinic LLC

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1861991937

Jacksonville Lung Clinic LLC is a Critical Care Medicine (Internal Medicine) Physician in Jacksonville Beach, Florida. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1350 13th Ave S
Jacksonville Beach, FL 32250-3203
Phone: (904) 627-2900
Fax: (904) 253-3098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7500 Rialto Blvd Ste 1-140, Austin, TX 78735 — (512) 730-3060

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X
Pulmonary Disease Physician Taxonomy 207RP1001X

Record details

NPI number1861991937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Pew — Vice President · (307) 262-9410
NPI enumeratedFebruary 5, 2018
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address7500 Rialto Blvd, Austin, TX 78735-8531

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