| Juan Daniel Pulido, MD | |
|
1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 | |
| (904) 853-6154 | |
| (904) 853-6412 |
| Full Name | Juan Daniel Pulido |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 1370 13th Ave South, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336293620 | NPI | - | NPPES |
| 022274400 | Medicaid | FL | |
| 004596901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | ME102087 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Dolphin Pointe Health Care Center | Jacksonville, FL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jacksonville Lung Clinic Llc | 4486900412 | 10 |
| Northeast Florida Lung Clinic | 5395097109 | 3 |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Jacksonville Lung Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861991937 PECOS PAC ID: 4486900412 Enrollment ID: O20180705002822 |
| Entity Name | Northeast Florida Lung Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275024317 PECOS PAC ID: 5395097109 Enrollment ID: O20181005001010 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Daniel Pulido, MD 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Ph: (904) 853-6154 | Juan Daniel Pulido, MD 1370 13th Ave South, Suite 218, Jacksonville Beach, FL 32250 Ph: (904) 853-6154 |
Stephen E Grable, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Drive, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 | |
Dr. Anne Thu-anh Bui, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 50 3rd Ave S Apt 803, Jacksonville Beach, FL 32250 Phone: 409-354-1961 | |
Dr. Michael B Ibach, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1375 Roberts Dr, Ste 204, Jacksonville Beach, FL 32250 Phone: 904-247-0056 Fax: 904-241-0065 | |
William Wainwright, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1361 13th Ave S Ste 270, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-241-5492 | |
Thomas Carens Hilton, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1320 Roberts Dr Ste 101, Jacksonville Beach, FL 32250 Phone: 904-241-7147 Fax: 904-376-3213 | |
Dr. Thomas G Gaddis, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899 |