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

Jacksonville Psychiatric Association Inc

Organization Psychiatry Physician · NPI 1205261765

Jacksonville Psychiatric Association Inc provides Psychiatry Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10175 Fortune Pkwy Ste 206
Jacksonville, FL 32256-6746
Phone: (904) 379-8748
Fax: (904) 379-8796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME112178 (FL)

Record details

NPI number1205261765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imtiaz Rasul — Owner · (973) 901-0394
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address10175 Fortune Pkwy, Suite 206, Jacksonville, FL 32256-6746

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