Hormoz Khosravi, Md

LBN: Jax Ob-Gyn Pa
Hormoz Khosravi, Md is an health care organization with primary practice located at 4123 University Blvd S. Suite D, Jacksonville FL 32216. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Jax Ob-Gyn Pa can be contacted via phone (904) 737-1920, or through Khosravi, Hormoz via phone (904) 737-1920.

Contact Information

Primary practice address
4123 University Blvd S. Suite D Jacksonville FL 32216
Phone: (904) 737-1920
Fax: (904) 737-8932
Website:
Map and Directions
Authorized official contact:
Name: Khosravi, Hormoz
Phone: (904) 737-1920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME32812 Florida

Profile Details

NPI number 1891012365
LBN Legal business name Jax Ob-Gyn Pa
DBA Doing business as Hormoz Khosravi, Md
Authorized official Khosravi, Hormoz
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2010
Last updated Dec 30th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891012365 NPPES
Florida MEDICAID 037158100

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