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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

NPI Number 1912219064
LBN Legal business name EMED URGENT AND PRIMARY CARE INC
Authorized official RENE PULIDO - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/06/2010
Last updated 08/10/2021 - About 5 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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