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

Mandarin Ob-Gyn PA

Organization Obstetrics & Gynecology Physician · NPI 1407956972

Mandarin Ob-Gyn PA is an Obstetrics & Gynecology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

13241 Bartram Park Blvd Unit 1309
Jacksonville, FL 32258-5229
Phone: (904) 288-6910
Fax: (904) 288-6916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME77915 (FL)

Record details

NPI number1407956972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ghulam Khan — President · (904) 288-6910
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJanuary 5, 2018
Mailing address13241 Bartram Park Blvd Unit 1309, Jacksonville, FL 32258-5229

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