Individual
SINA KASRAEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 SAINT ELIZABETH WAY STE 210, SAINT JOHNS, FL 32259-1153
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 209-1057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A94268
CA
207X00000X
Orthopaedic Surgery Physician
ME96184
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME96184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123826300
—
FL
01
—
149AQ
BLUE CROSS
FL
Enumeration date
04/16/2007
Last updated
07/28/2025
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