Sina Kasraeian
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1 Orthopaedic Pl
St Augustine
, Florida 32086-4202
Sina Kasraeian
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
1 Orthopaedic Pl
St Augustine
, Florida 32086-4202
(904) 209-1057
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Sina Kasraeian
- 1 Orthopaedic Pl
- St Augustine, FL
- Zip : 32086-4202
- Fax : (904) 209-1057
- Phone : (904) 825-0540
Second Address
- Sina Kasraeian
- 1 Orthopaedic Pl
- St Augustine, FL
- Zip : 32086-4202
- Fax : (904) 209-1057
- Phone : (904) 825-0540
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Is Sina Kasraeian a sole practitioner?
Is Sina Kasraeian accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | A94268 | CA |
| N | 207X00000X | Orthopaedic Surgeon | ME96184 | FL |
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME96184 | FL |
National Provider Identifier
| NPI | 1083839930 |
|---|---|
| Provider Name | Sina Kasraeian |
| First Address | St Augustine, FL 32086-4202 |
| Second Address | St Augustine, FL 32086-4202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2007 |
| Last Update Date | 04/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 149AQ | BLUE CROSS (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.