HORMOZJI KHOSRAVI M.D. P.A. NPI 1043323694

NPI Information

Hormozji Khosravi, M.D., P.A. is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Hormozji Khosravi, M.D., P.A. NPI is 1043323694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3627 UNIVERSITY BLVD S
SUITE 200
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-3200
Fax: (904) 296-0069

The enumeration date for this NPI number is 8/17/2006 and was last updated on 6/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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