Organization · Type 2 NPI
Jacksonville Lung Clinic LLC
Critical Care Medicine (Internal Medicine) Physician · Jacksonville Beach, FL
Practice location
1350 13th Ave S
Jacksonville Beach, FL 32250-3203
Fax (904) 253-3098
Mailing address
7500 Rialto Blvd
Austin, TX 78735-8531
Other practice locations
- 7500 Rialto Blvd Ste 1-140, Austin, TX 78735 · (512) 730-3060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician Primary | 207RC0200X | None listed |
| Pulmonary Disease Physician | 207RP1001X | None listed |
Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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- Andrew William Koenig, PT, DPT, OCS, CSCSPhysical Therapist Jacksonville Beach, FL NPI 1962664854
- Angela M. Morgan, RNRegistered Nurse Jacksonville Beach, FL NPI 1710638531
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- Carla CastleberryRegistered Nurse Jacksonville, FL NPI 1851959571
- Carol Louise Lewis, R.N.F.A.Registered Nurse First Assistant Jacksonville Beach, FL NPI 1588002745
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About NPI 1861991937
Jacksonville Lung Clinic LLC's National Provider Identifier is 1861991937, issued on Feb 5, 2018. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Jan 7, 2025.