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HAGHIGHI FAMILY & SPORTS MEDICINE PA NPI 1083795637


NPI Information

NPI: 1083795637
Provider Name: HAGHIGHI FAMILY & SPORTS MEDICINE PA

Doing Business As: HAGHIGHI FAMILY & SPORTS MEDICINE PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9191 RG SKINNER PRKWY
SUITE 901
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 519-8895
Get Directions

HAGHIGHI FAMILY & SPORTS MEDICINE PA is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HAGHIGHI FAMILY & SPORTS MEDICINE PA NPI is 1083795637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Haghighi Family & Sports Medicine Pa.

The provider's business location address is:

9191 RG SKINNER PRKWY
SUITE 901
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 519-8895

The provider's authorized official is Michael Haghighi .
The authorized official title is Owner Doctor and has the following contact phone number (904) 519-8895.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 5/26/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
128082XMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
20004895000MEDICAIDFLORIDA
35832080001MEDICARE NSCFLORIDA
4H73999MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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