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

Katharyn I Mirzaee, MD

Individual provider Family Medicine Physician · NPI 1386204915

Katharyn I Mirzaee, MD is a Hospitalist in Jacksonville, Florida. Graduated from Univ of Central Florida, College of Medicine in 2019, 7 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
7
Trained at
Univ of Central Florida, College of Medicine
Licensed in
FL, MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence ME172745 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME172745 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4351045083 (MI)

Record details

NPI number1386204915
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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