KASRAEIAN UROLOGY
NPI 1083959563
Urology in Jacksonville, FL

Active since December 10, 2012CLIA 10D2156418 · Waiver
6269 BEACH BLVD, SUITE 2, JACKSONVILLE, FL 32216(904) 727-7955(904) 727-7976 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kasraeian Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASRAEIAN UROLOGY (NPI 1083959563) is a healthcare organization registered as an urology in Jacksonville, Florida and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Ahmad Kasraeian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083959563
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFLORIDA PHYSICIAN SPECIALISTS LLC
Location Address6269 BEACH BLVD, SUITE 2Jacksonville, FL 32216-2768
Mailing Address6269 Beach Blvd, Suite 2Jacksonville, FL 32216-2768 · (904) 727-7955 · Fax (904) 727-7976
Fax(904) 727-7976
Organization SubpartNo
Authorized OfficialAhmad KasraeianCeo · (904) 727-7955
Enumeration DateDecember 10, 2012
NPI 1083959563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

6269 BEACH BLVD, Jacksonville, FL 32216

Other Names 1

Doing Business AsKasraeian Urology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2156418

Florida Physician Specialists · Jacksonville, FL
Active · expires Oct 16, 2026
CLIA Number10D2156418
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorChristopher S. West
Laboratory Phone(904) 355-6583
Laboratory LocationFlorida Physician Specialists8774 Perimeter Park Blvd, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
6269 BEACH BLVD, SUITE 4
JACKSONVILLE, FL 32216
Urology
6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216
Urology
6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216
Surgery (Plastic and Reconstructive Surgery)
6269 BEACH BLVD, SUITE 1
JACKSONVILLE, FL 32216
Urology
6269 BEACH BLVD, SUITE 2
JACKSONVILLE, FL 32216
Urology
6269 BEACH BLVD, STE 2
JACKSONVILLE, FL 32216
Physician Assistant
6269 BEACH BLVD
JACKSONVILLE, FL 32216
Ophthalmology
6269 BEACH BLVD, SUITE 4
JACKSONVILLE, FL 32216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Physician Specialists LLC's NPI number?

The NPI number for Florida Physician Specialists LLC is 1083959563. It was assigned to this organization in the NPPES registry on December 10, 2012. The provider is doing business as Kasraeian Urology.

Where is Florida Physician Specialists LLC located?

Florida Physician Specialists LLC is located at 6269 Beach Blvd Suite 2, Jacksonville, FL 32216. The listed phone number is (904) 727-7955.

What is Florida Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Florida Physician Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2156418) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Physician Specialists LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Florida Physician Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Physician Specialists LLC was last updated on December 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.