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

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: July 19, 2026.

  • Organization
  • Obstetrics & Gynecology
  • Gynecology

About HORMOZ KHOSRAVI, MD

This page provides the complete NPI Profile along with additional information for Hormoz Khosravi, Md, a women's health care provider established in Jacksonville, Florida operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1891012365 assigned on April 2010. The practitioner's primary taxonomy code is 207VG0400X with license number ME32812 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Hormoz Khosravi, Md. The authorized official of this NPI record is Hormoz Khosravi (Dr./owner)

NPI
1891012365 Verify this NPI
Provider Legal Name
JAX OB-GYN PA
Other Organization Name
HORMOZ KHOSRAVI, MD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4123 UNIVERSITY BLVD S. SUITE D JACKSONVILLE, FL 32216
Location Phone
(904) 737-1920
Location Fax
(904) 737-8932
Mailing Address
4123 UNIVERSITY BLVD S. SUITE D JACKSONVILLE, FL 32216
Mailing Phone
(904) 737-1920
Mailing Fax
(904) 737-8932
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2010
Last Update Date
12-30-2011
Code Navigator

Women's health care providers like Hormoz Khosravi, Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
ME32812
License State
FL
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HORMOZ KHOSRAVI

Authorized Official Title
DR./OWNER
Authorized Official Phone
(904) 737-1920

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D526202MEDICARE UPIN (02)FL 
037158100MEDICAID (05)FL 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891012365, enumerated as an "organization" on April 23, 2010.

The provider is located at 4123 UNIVERSITY BLVD S. SUITE D JACKSONVILLE, FL 32216 and the phone number is (904) 737-1920.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.