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

Blue Sea Medical Corporation

Organization Internal Medicine Physician · NPI 1508113309

Blue Sea Medical Corporation is an Internal Medicine Physician in Jacksonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.

Licensed in
AR
In the registry since
2012

Practice location Address checks out

1401 Braden St
Jacksonville, AR 72076-3720
Phone: (501) 985-2537
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence E-3012 (AR)

Record details

NPI number1508113309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syed Mazher — Medical Director · (501) 256-7520
NPI enumeratedAugust 10, 2012
Last updated in NPPESJuly 16, 2014
Mailing address112 Sezanne Ct, Little Rock, AR 72223-5095

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