IndividualActive
Ghazal Vafabakhsh
NPI 1689135998 · Physician Assistant · Jacksonville, FL
Provider details
- NPI number
- 1689135998
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA9112314 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 Palm Ave
Jacksonville, FL 32207-8432
Phone: (904) 202-7300
Fax: (904) 202-7433
Street-level locationGet directions
Mailing address
Po Box 45278
Jacksonville, FL 32232-5278
Additional practice locations (1)
- 2407 Golden Bell LnFleming Island, FL 32003-3372Phone: (904) 343-3962
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.