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Jacksonville Lung Clinic LLC

Critical Care Medicine (Internal Medicine) Physician in Jacksonville Beach, FL · enumerated 2018 · authorized official Chad Pew, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861991937

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Registry record

Entity type Organization (Type 2)
Legal business name Jacksonville Lung Clinic LLC
Practice address 1350 13th Ave S, Jacksonville Beach, FL, 32250
Phone (904) 627-2900
Fax (904) 253-3098
Enumeration date Feb 5, 2018
Last updated in NPPES Jan 7, 2025

Taxonomy & classification

207RC0200X Critical Care Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Chad Pew
Title Vice President
Phone (307) 262-9410

Other identifiers

Identifier Type State Issuer
022274400 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jacksonville Lung Clinic LLC?
Jacksonville Lung Clinic LLC is registered in NPPES as a Critical Care Medicine (Internal Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-07.