Cisca Pulmonary Critical Care INC
Internal Medicine, Pulmonary Disease in Jacksonville Beach, FL. Organization (NPI-2).
NPI number1629326285
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1629326285
- Entity type
- Organization (NPI-2)
- Legal business name
- Cisca Pulmonary Critical Care INC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2012
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | – |
Practice location
1361 13th Ave S Ste 245Jacksonville Beach, FL 32250
Phone 904-493-7174 · Fax 904-694-0696
Mailing address
1361 13th Ave S Ste 245Jacksonville Beach, FL 32250-3238
Phone 904-396-0300 · Fax 904-396-3039
Other practice locations
3627 University Blvd S Ste 300
Jacksonville, FL 32216-4294
Jacksonville, FL 32216-4294
Phone 904-396-0300 · Fax 904-396-3039
Authorized official
Alexis Augustine Vazquez
Physician Owner
9044193986
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