OrganizationActive
Jax Ob-Gyn PA
NPI 1891012365 · Gynecology Physician · Jacksonville, FL
Jax Ob-Gyn PA is a Gynecology Physician organization in Jacksonville, FL (NPI 1891012365).
Provider details
- NPI number
- 1891012365
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hormoz Khosravi, Dr./Owner(904) 737-1920
- License
- ME32812 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4123 University Blvd S.
Suite D
Jacksonville, FL 32216
Phone: (904) 737-1920
Fax: (904) 737-8932
Street-level locationGet directions
Mailing address
4123 University Blvd S.
Jacksonville, FL 32216
Other names (DBA / former)
- Other name
- Hormoz Khosravi, MD
Registry dates
- Enumerated
- 2010-04-23
- Last updated
- 2011-12-30
Frequently asked questions
- What is Jax Ob-Gyn PA's NPI number?
- Jax Ob-Gyn PA's National Provider Identifier (NPI) is 1891012365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jax Ob-Gyn PA?
- Jax Ob-Gyn PA is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jax Ob-Gyn PA located?
- Jax Ob-Gyn PA's practice location on file with NPPES is 4123 University Blvd S., Jacksonville, FL 32216.
- What is Jax Ob-Gyn PA's phone number?
- The practice phone number listed in the NPPES registry for Jax Ob-Gyn PA is (904) 737-1920.
- Who is the authorized official for Jax Ob-Gyn PA?
- The authorized official listed on Jax Ob-Gyn PA's NPPES record is Hormoz Khosravi, Dr./Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jax Ob-Gyn PA's NPI active?
- Yes — Jax Ob-Gyn PA's NPI (1891012365) is active in the NPPES registry as of the last update on 2011-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.