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NPI Code Detail

MEDICARE: CLINIC FOR PULMONARY AND INFECTIOUS DISEASES PA

MEDICARE: CLINIC FOR PULMONARY AND INFECTIOUS DISEASES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2207RI0200XInfectious Disease Physician
3207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1558430736
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINIC FOR PULMONARY AND INFECTIOUS DISEASES PA
Provider Business Mailing Address
First Line : 1842 HICKMAN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4443
Country : US
Telephone Number : 904-725-6300
Fax Number : 904-725-5447
Provider Business Practice Location Address
First Line : 1842 HICKMAN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4443
Country : US
Telephone Number : 904-725-6300
Fax Number : 904-725-5447
Authorized Official
Title or Position : PRESIDENT & PARTNER
Name : DR. P ANDREW COLEY JR.
Credential : MD
Telephone Number : 904-725-6300
Provider Enumeration Date : 11/06/2006
Last Update Date : 01/18/2008

Similar Medicare Providers

1609832534 — DR. EARL HOWARD EYE JR. MD
Practice Location Address:
1842 HICKMAN RD
JACKSONVILLE, FL
32216-4443
Practice Phone: 904-725-6300
Practice Fax: 904-725-5447
1083803845 — MRS. AVA RUTH SMITH ARNP
Practice Location Address:
1842 HICKMAN RD
JACKSONVILLE, FL
32216-4443
Practice Phone: 904-725-6300
Practice Fax: 904-725-5447
1932317922 — DR. JODI EVE MASON DMD
Practice Location Address:
2008 RIVERSIDE AVE , SUITE 101
JACKSONVILLE, FL
32204-4443
Practice Phone: 904-372-3260
Practice Fax: 904-385-3704
1023271517 — MERRILL MARTIN CHANDLER M.S., BCBA
Practice Location Address:
4443 BASS PL N
JACKSONVILLE, FL
32210-6000
Practice Phone: 904-465-0090
Practice Fax: 904-212-1032
1861630378 — REHAB PROVIDERS INC
Practice Location Address:
1527 SILVER ST
JACKSONVILLE, FL
32206-4443
Practice Phone: 904-891-0782
Practice Fax: 904-357-0061
1457587891 — PERRY JC MD PA
Practice Location Address:
7999 PHILIPS HWY , STE 302
JACKSONVILLE, FL
32256-4443
Practice Phone: 904-733-0099
Practice Fax: 904-733-0070

Directions to “CLINIC FOR PULMONARY AND INFECTIOUS DISEASES PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.