Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jax Ob-Gyn PA

Organization Gynecology Physician · NPI 1891012365

Jax Ob-Gyn PA is a Gynecology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4123 University Blvd S Ste D
Jacksonville, FL 32216
Phone: (904) 737-1920
Fax: (904) 737-8932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence ME32812 (FL)

Record details

NPI number1891012365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hormoz Khosravi — Dr./Owner · (904) 737-1920
Other names Hormoz Khosravi, Md
NPI enumeratedApril 23, 2010
Last updated in NPPESDecember 30, 2011
Mailing address4123 University Blvd S., Suite D, Jacksonville, FL 32216

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