MEDICARE: SINA KASRAEIAN MD

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	207X00000X	Orthopaedic Surgery Physician	A94268	CA
2	207X00000X	Orthopaedic Surgery Physician	ME96184	FL
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME96184	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
2	149AQ	OTHER	FL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083839930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINA KASRAEIAN MD

Provider Business Mailing Address
First Line	:	6800 SOUTHPOINT PKWY STE 300
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8203
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-209-1057

Provider Business Practice Location Address
First Line	:	300 SAINT ELIZABETH WAY STE 210
Second Line	:
City	:	SAINT JOHNS
State	:	FL
Zip	:	32259-1153
Country	:	US
Telephone Number	:	904-634-0640
Fax Number	:	904-634-0203

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/28/2025

Similar Medicare Providers

1093077307 — DR. PHILIP ANDREW ROTHBERG MD, MPH&TM
Practice Location Address:

300 SAINT ELIZABETH WAY STE 230
ST JOHNS, FL
32259-1153

Practice Phone: 904-389-8861
Practice Fax: 904-396-4893

1568857852 — SHAILEE SHAH MD
Practice Location Address:

300 SAINT ELIZABETH WAY STE 110
ST JOHNS, FL
32259-1153

Practice Phone: 904-691-9100
Practice Fax:

1558821454 — ZACHARY RICHARD DIONISE
Practice Location Address:

300 SAINT ELIZABETH WAY STE 145
ST JOHNS, FL
32259-1153

Practice Phone: 904-355-6583
Practice Fax:

1699412932 — NORTHEAST FLORIDA ENDOCRINE AND DIABETES ASSOCIATES, PA
Practice Location Address:

300 SAINT ELIZABETH WAY STE 160
ST JOHNS, FL
32259-1153

Practice Phone: 904-384-2240
Practice Fax: 904-486-2314

1437844636 — CANCER SPECIALISTS, LLC
Practice Location Address:

300 SAINT ELIZABETH WAY STE 230
ST JOHNS, FL
32259-1153

Practice Phone: 904-823-3800
Practice Fax: 904-823-3801

1992598734 — SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Practice Location Address:

300 SAINT ELIZABETH WAY STE 210
ST JOHNS, FL
32259-1153

Practice Phone: 904-634-0640
Practice Fax: 904-634-0203

Directions to “ SINA KASRAEIAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.