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 is a General Practice Physician 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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