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 is a Psychiatry Physician 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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