Jax OB-GYN PA
NPI 1891012365ActiveOrganization· Obstetrics & Gynecology, Gynecology· Jacksonville, FL
Obstetrics & Gynecology, Gynecology in Jacksonville, Florida, registered in NPPES in April 2010. The authorized official on file is Hormoz Khosravi, Dr./Owner.
Overview
| NPI | 1891012365 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2010 |
| Last updated in NPPES | Dec 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Gynecology Primary | 207VG0400X | ME32812 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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