| Baptist Pulmonary Specialists Inc | |
|
1660 Prudential Dr Ste 320 Jacksonville FL 32207-8197 | |
| (904) 376-3707 | |
| (904) 391-5001 |
| Full Name | Baptist Pulmonary Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1660 Prudential Dr Ste 320, Jacksonville, Florida |
| Authorized Official Name and Position | Catherine Holloway (DIRECTOR) |
| Authorized Official Contact | 9042025378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Pulmonary Specialists Inc Po Box 2462 Salt Lake City UT 84110-2462 Ph: (904) 202-1032 | Baptist Pulmonary Specialists Inc 1660 Prudential Dr Ste 320 Jacksonville FL 32207-8197 Ph: (904) 376-3707 |
| NPI Number | 1689817405 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 03/03/2021 |
| Medicare PECOS PAC ID | 5395898191 |
|---|---|
| Medicare Enrollment ID | O20090727000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689817405 | NPI | - | NPPES |
| BY513A | Other | FL | MEDICARE GROUP PTAN |
| Provider Name | Jorge N Glass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235107681 PECOS PAC ID: 7315992666 Enrollment ID: I20050318000755 |
| Provider Name | Irene Louh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023242666 PECOS PAC ID: 4284885658 Enrollment ID: I20121112000330 |
| Provider Name | Haydar M Al-eid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306133780 PECOS PAC ID: 4082996863 Enrollment ID: I20250211003607 |
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