Jacksonville Lung Clinic Llc
LBN: Jacksonville Lung Clinic Llc
Jacksonville Lung Clinic Llc is an health care organization with primary practice located at 1350 13Th Ave S , Jacksonville Beach FL 32250-3203. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is the primary health care specialty.
Jacksonville Lung Clinic Llc can be contacted via phone (904) 627-2900, or through Carletti, Ryan via phone (330) 727-3530.
Contact Information
Primary practice address
1350 13Th Ave S
Jacksonville Beach FL 32250-3203
Phone: (904) 627-2900
Fax: (904) 253-3098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1861991937 |
|---|---|
| LBN Legal business name | Jacksonville Lung Clinic Llc |
| DBA Doing business as | |
| Authorized official | Carletti, Ryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2018 |
| Last updated | Apr 4th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861991937 | NPPES |
| Florida | MEDICAID | 022274400 |
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