Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ic Medical Services, PA

Organization General Practice Physician · NPI 1528919958

Ic Medical Services, PA provides General Practice Physician services in Jacksonville, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2121 Corporate Square Blvd Ste 150
Jacksonville, FL 32216-1990
Phone: (732) 917-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1528919958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Miranda — Owner · (732) 917-0600
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 1, 2026
Mailing address2121 Corporate Square Blvd Ste 150, Jacksonville, FL 32216-1990

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