IC MEDICAL SERVICES, P.A. – NPI #1528919958
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

IC MEDICAL SERVICES, P.A. is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1528919958 to IC MEDICAL SERVICES, P.A. on February 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IC MEDICAL SERVICES, P.A. below.

NPI Profile for
IC MEDICAL SERVICES, P.A.

NPI Number
1528919958
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IC MEDICAL SERVICES, P.A.
Primary location
2121 CORPORATE SQUARE BLVD STE 150
JACKSONVILLE, FL 32216-1990
Phone: (732) 917-0600 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTEN MIRANDA
OWNER
Phone: (732) 917-0600
Updated
Certification Date
Feb 01, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.