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

Ghazal S Vafabakhsh

Individual provider Physician Assistant · NPI 1689135998

Ghazal S Vafabakhsh is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

1301 Palm Ave
Jacksonville, FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Show map & directions

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

Additional practice locations (1)

  • 2407 Golden Bell Ln, Fleming Island, FL 32003-3372 — (904) 343-3962

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112314 (FL)

Record details

NPI number1689135998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

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