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

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1710494000

Jacksonville Lung Clinic PLLC is a Critical Care Medicine (Internal Medicine) Physician in Jacksonville, Florida. Registered with an NPI since 2018.

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

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Practice location Address checks out

2624 Atlantic Blvd Ste 6
Jacksonville, FL 32207-3633
Phone: (904) 513-3240
Fax: (904) 253-3098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1710494000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Pulido — President/Owner · (904) 513-3240
NPI enumeratedJanuary 8, 2018
Last updated in NPPESMarch 28, 2018
Mailing address2624 Atlantic Blvd Ste 6, Jacksonville, FL 32207-3633

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