Organization
IC MEDICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ANGELA MIRANDA MD (OWNER)
(732) 917-0600
Entity
Organization
Contact information
Practice address
2121 CORPORATE SQUARE BLVD STE 150, JACKSONVILLE, FL 32216-1990
(732) 917-0600
Mailing address
2121 CORPORATE SQUARE BLVD STE 150, JACKSONVILLE, FL 32216-1990
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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