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Contact Information

EMED URGENT AND PRIMARY CARE INC
2624 ATLANTIC BLVD
JACKSONVILLE, FL32207-3609
 Phone: 904-513-3240
 Fax: 904-379-2911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EMED URGENT AND PRIMARY CARE INC · (Female)

NPI # 1912219064
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2010
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 10D2009297
  • FL Medicaid 002464700
  • FL Medicaid 004248300
  • FL Other 338970 AVMED
  • FL Other 148KP BLUE CROSS BLUE SHEILD
  • FL Other 9818064 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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