EMED MULTISPECIALTY GROUP PA (NPI# 1912219064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912219064 |
| Entity Type | Organization |
| Organization Name | EMED MULTISPECIALTY GROUP PA |
| Practice Address |
2624 Atlantic Boulevard Jacksonville FL 32204 |
| Mailing Address |
2624 Atlantic Boulevard Jacksonville FL 32207 |
| Practice Telephone | 9045133240 |
| Practice Fax Number | 9043792911 |
| Mailing Telephone | 9045133240 |
| Mailing Fax Number | 9043792911 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MR. RENE U PULIDO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9045133240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EMED URGENT AND PRIMARY CARE PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | 10D2009297 | FL | Laboratories |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207L00000X | Anesthesiology | FL | Allopathic & Osteopathic Physicians | |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004248300 | 05 | |
| FL | 002464700 | 05 | |
| FL | CIGNA | 9818064 | 01 |
| FL | BLUE CROSS BLUE SHEILD | 148KP | 01 |
| FL | AVMED | 338970 | 01 |
| Street Address |
2624 ATLANTIC BOULEVARD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649782392 | Emed Urgent and Primary Care Pa | Internal Medicine | 2624 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1275890402 | Amit K Babbar | Internal Medicine | 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 | 2012-04-12 |
| 1902178254 | Dennis J Mcdonagh M D P A | Internal Medicine | 2636 Forest Cir, Jacksonville, FL 32257-5612 | 2012-02-02 |
| 1386891042 | Leo F Black | Internal Medicine | 8244 Shady Grove Rd, Jacksonville, FL 32256-7361 | 2008-08-25 |
| 1376744581 | Margaret Davis Hovda | Internal Medicine | 425 North Lee Street, Suite 203, Jacksonville, FL 32204-1128 | 2007-05-29 |
| 1598781643 | Daniel S Wyzan | Internal Medicine | 425 North Lee St, Suite 203, Jacksonville, FL 32204-1128 | 2006-07-14 |
| 1619962230 | Bruce Mitchell Yergin | Internal Medicine | 3627 University Blvd S Ste 300, Jacksonville, FL 32216 | 2005-09-20 |
| 1649782392 | Emed Urgent and Primary Care Pa | Internal Medicine | 2624 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| 1750764668 | David Abia Trujillo | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-07-09 |
| 1326433624 | Scott Richard Steinberg | Internal Medicine | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-04-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on EMED MULTISPECIALTY GROUP PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.