Individual
KASRA A NABIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Mailing address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME51611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049222100
—
FL
Enumeration date
07/19/2006
Last updated
05/07/2014
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