Kasraeian, Sina

Kasraeian, Sina is an individual health care provider with primary practice located at 216 Southpark Cir E Ste 216 , St Augustine FL 32086-5135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kasraeian, Sina can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
216 Southpark Cir E Ste 216 St Augustine FL 32086-5135
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A94268 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME96184 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME96184 Florida

Profile Details

NPI number 1083839930
LBN Legal business name Kasraeian, Sina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083839930 NPPES
Florida Other 149AQ BLUE CROSS

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