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Hormozji Khosravi, MD,PA
Specialist in Jacksonville, Florida
NPI 1043323694

Hormozji Khosravi is a Specialist based in Jacksonville, FL. Hormozji Khosravi practices in Jacksonville, FL and has the professional credentials of MD,PA. The NPI Number for Hormozji Khosravi is 1043323694 and holds a License No. ME32812 (Florida).

The current practice location address for Hormozji Khosravi is 3627 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-296-3200 and via fax at 904-296-0069.

Location: 3627 University Blvd S, Jacksonville, FL, 32216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043323694
Provider Name
Hormozji Khosravi
Credential
MD,PA
Provider Entity Type
Individual
Gender
Male
Address
3627 University Blvd S, Jacksonville, FL, 32216
Phone Number
904-296-3200
Fax Number
904-296-0069
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
037158100 05 FL
institution
Provider Business Practice Location Address Details
Address
3627 University Blvd S
City
Jacksonville
State
Florida
Zip
32216
Phone Number
904-296-3200
Fax Number
904-296-0069
person
Provider Business Mailing Address Details
Address
3627 University Blvd S
City
Jacksonville
State
Florida
Zip
32216
Phone Number
904-296-3200
Fax Number
904-296-0069
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME32812 (Florida)
Definition
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.
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