PULIDO LUNG CLINIC, PLLC
Osteopathic Medicine at Saint Augustine Rd, Jacksonville, FL

License number
Florida ME102087
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: DR. JUAN DANIEL PULIDO MD
Title: OWNER
Phone: (904) 655-7920
Address
Address
6216 Saint Augustine Rd, Jacksonville, FL 32217
National Provider ID: 1710228648
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PULIDO LUNG CLINIC, PLLC

Jacksonville, FL

Industry:
Medical Doctor's Office
Registration:
Nov 20, 2012
Addresses:
6216 St Augustine Rd, Jacksonville, FL 32217 (Physical)
2570 Atlantic Blvd, Jacksonville, FL 32207
State ID:
L12000146529
Business type:
Florida Limited Liability Company
Directors:
Juan D Pulido (Managing Member), 6216 St Augustine Rd, Jacksonville, FL 32217 (Physical),Angie Jordan (Director), 6216 St Augustine Rd, Jacksonville, FL 32217 (Physical)
Agent:
The Bittinger Law Firm,13500 Sutton Park Dr S SUITE 201, Jacksonville, FL 32224 (Physical)
EIN:
90-0909306

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