| Emed Multispecialty Group | |
|
2624 Atlantic Blvd Jacksonville FL 32207-3609 | |
| (904) 513-3240 | |
| (904) 379-2911 |
| Full Name | Emed Multispecialty Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2624 Atlantic Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Rene U Pulido (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9045133240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emed Multispecialty Group 2624 Atlantic Boulevard Jacksonville FL 32207 Ph: (904) 513-3240 | Emed Multispecialty Group 2624 Atlantic Blvd Jacksonville FL 32207-3609 Ph: (904) 513-3240 |
| NPI Number | 1912219064 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 9830381664 |
|---|---|
| Medicare Enrollment ID | O20101012000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912219064 | NPI | - | NPPES |
| 002464700 | Medicaid | FL | |
| 9818064 | Other | FL | CIGNA |
| 148KP | Other | FL | BLUE CROSS BLUE SHEILD |
| 004248300 | Medicaid | FL | |
| 338970 | Other | FL | AVMED |
| Provider Name | Rene U Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033357553 PECOS PAC ID: 0547300709 Enrollment ID: I20091218000214 |
| Provider Name | Amanda D Filosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750781167 PECOS PAC ID: 5991016941 Enrollment ID: I20150618000433 |
| Provider Name | Grace Choi Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245836303 PECOS PAC ID: 8628486586 Enrollment ID: I20210415000090 |
| Provider Name | Kenya Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265145932 PECOS PAC ID: 0648623447 Enrollment ID: I20240129001541 |
| Provider Name | Irene Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861751026 PECOS PAC ID: 6709223365 Enrollment ID: I20240319003003 |
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