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Organization
JACKSONVILLE CRITICAL CARE ASSOCIATES PA
Active
Organization
JACKSONVILLE CRITICAL CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASRA A NABIZADEH M.D. (PRESIDENT)
(904) 646-5505
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, SUITE 801, JACKSONVILLE, FL 32216-6282
(904) 646-3420
(904) 646-3017
Mailing address
8253 RIDING CLUB RD, JACKSONVILLE, FL 32256-7262
(904) 646-3420
(904) 646-3017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME51611
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME51611
FL
207RP1001X
Pulmonary Disease Physician
ME51611
FL
Other
Enumeration date
12/06/2007
Last updated
11/21/2016
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