| Organization Name: | EMED URGENT AND PRIMARY CARE, PA |
| NPI Number: | 1003171505 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENE URIEL PULIDO (PHYSICIAN/OWNER) |
| Mailing Address: | 2570 Atlantic Blvd Jacksonville |
| State: | FL US |
| Postal Code: | 322073604 |
| Phone Number: | 9046478576 |
| Fax Number: | 9043987871 |
| NPI Enumeration Date: | 07/10/2012 |
| NPI Last Update Date: | 07/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | ARNP9285572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |