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 provides Critical Care Medicine (Internal Medicine) Physician services 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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