Northeast Florida Primary Care Clinic

LBN: Northeast Florida Primary Care Clinic
Northeast Florida Primary Care Clinic is an health care organization with primary practice located at 1835 East-West Parkway Suite 11, Orange Park FL 32003. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Northeast Florida Primary Care Clinic can be contacted via phone (904) 215-9266, or through Pulwers, Jack Edward via phone (904) 215-9266.

Contact Information

Primary practice address
1835 East-West Parkway Suite 11 Orange Park FL 32003
Phone: (904) 215-9266
Fax: (904) 264-4651
Website:
Map and Directions
Authorized official contact:
Name: Pulwers, Jack Edward Doctor of Medicine (MD)
Phone: (904) 215-9266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0076341 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0068123 Florida

Profile Details

NPI number 1235232273
LBN Legal business name Northeast Florida Primary Care Clinic
DBA Doing business as
Authorized official Pulwers, Jack Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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