HORMOZ KHOSRAVI, MD
NPI 1891012365
Obstetrics & Gynecology - Gynecology in Jacksonville, FL

Q: What is Jax Ob-Gyn PA's NPI number?

The NPI number for Jax Ob-Gyn PA is 1891012365. It was assigned to this organization in the NPPES registry on April 23, 2010. The provider is also known as Hormoz Khosravi, MD.

Q: What is Jax Ob-Gyn PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Jax Ob-Gyn PA was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2010

4123 UNIVERSITY BLVD S., SUITE D, JACKSONVILLE, FL 32216(904) 737-1920(904) 737-8932 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hormoz Khosravi, Md NPPES

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

HORMOZ KHOSRAVI, MD (NPI 1891012365) is a healthcare organization registered as a gynecology in Jacksonville, Florida and active in the NPI registry since April 2010. The organization lists Hormoz Khosravi, Dr./owner, as its authorized official.

NPPES Registry Identity

NPI1891012365

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameJAX OB-GYN PA

Location Address4123 UNIVERSITY BLVD S., SUITE DJacksonville, FL 32216

Mailing Address4123 University Blvd S., Suite DJacksonville, FL 32216 · (904) 737-1920 · Fax (904) 737-8932

Phone(904) 737-1920

Fax(904) 737-8932

Organization SubpartNo

Authorized OfficialHormoz KhosraviDr./owner · (904) 737-1920

Enumeration DateApril 23, 2010

Last NPPES UpdateDecember 30, 2011

✔ NPI 1891012365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in FL · ME32812

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

4123 UNIVERSITY BLVD S., Jacksonville, FL 32216

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Other Names 1

Other NameHormoz Khosravi, Md

Other Identifiers 2

Medicare UPIND526202FL

Medicaid037158100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jax Ob-Gyn PA's NPI number?

The NPI number for Jax Ob-Gyn PA is 1891012365. It was assigned to this organization in the NPPES registry on April 23, 2010. The provider is also known as Hormoz Khosravi, MD.

Where is Jax Ob-Gyn PA located?

Jax Ob-Gyn PA is located at 4123 University Blvd S. Suite D, Jacksonville, FL 32216. The listed phone number is (904) 737-1920.

What is Jax Ob-Gyn PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jax Ob-Gyn PA was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.