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FLORIDA PHYSICIAN SPECIALISTS LLC NPI 1083959563


NPI Information

NPI: 1083959563
Provider Name: FLORIDA PHYSICIAN SPECIALISTS LLC

Doing Business As: KASRAEIAN UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D2039775

Address:
6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 727-7955
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FLORIDA PHYSICIAN SPECIALISTS LLC is an urology in Jacksonville, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FLORIDA PHYSICIAN SPECIALISTS LLC NPI is 1083959563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kasraeian Urology.

The provider's business location address is:

6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32216-768
Phone: (904) 727-7955
Fax: (904) 727-7976

The provider's authorized official is Ahmad Kasraeian .
The authorized official title is Ceo and has the following contact phone number (904) 727-7955.

The CLIA number assigned to this NPI record is 10D2039775 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/10/2012 and was last updated on 12/10/2012.


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
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo
2208800000XUrologyYes

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: 4/28/2024

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