MEDICARE: MICHAELA LARNED NASR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	ME137609	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912369265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA LARNED NASR M.D.

Provider Business Mailing Address
First Line	:	580 W 8TH ST
Second Line	:	TOWER II, SUITE 6005
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6533
Country	:	US
Telephone Number	:	904-244-9905
Fax Number	:	904-244-3455

Provider Business Practice Location Address
First Line	:	580 W 8TH ST
Second Line	:	TOWER II, SUITE 6005
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6533
Country	:	US
Telephone Number	:	904-244-9905
Fax Number	:	904-244-3455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2016
Last Update Date	:	05/19/2026

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