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JACKSONVILLE CRITICAL CARE ASSOCIATES PA NPI 1073796660


NPI Information

NPI: 1073796660
Provider Name: JACKSONVILLE CRITICAL CARE ASSOCIATES PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
6817 SOUTHPOINT PKWY
SUITE 801
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 646-3420
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JACKSONVILLE CRITICAL CARE ASSOCIATES PA is an internal medicine in Jacksonville, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JACKSONVILLE CRITICAL CARE ASSOCIATES PA NPI is 1073796660. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6817 SOUTHPOINT PKWY
SUITE 801
JACKSONVILLE, FL
ZIP 32216-282
Phone: (904) 646-3420
Fax: (904) 646-3017

The provider's authorized official is Kasra A Nabizadeh .
The authorized official title is President and has the following contact phone number (904) 646-5505.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 11/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineME51611FLORIDANo
2207RP1001XInternal MedicinePulmonary DiseaseME51611FLORIDANo
3207R00000XInternal MedicineME51611FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D21228MEDICARE UPINFLORIDA
2K0357MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.