DR. KEIVAN TAVAKOLI (NPI# 1386242253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386242253 |
| Entity Type | Individual |
| Full Name | DR. KEIVAN TAVAKOLI |
| Credential | MD |
| Practice Address |
655 W 8th St Jacksonville FL 32209-6511 |
| Mailing Address |
6201 Chapel Hill Blvd Apt 3011 Plano TX 75093-8888 |
| Practice Telephone | 9042440411 |
| Mailing Telephone | 7034740096 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22049 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
655 W 8TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586828 | Ghaith Mitri | Internal Medicine | 655 W 8th St, Ufjp Rheumatology Dept., Jacksonville, FL 32209-6511 | 2005-05-23 |
| 1013522473 | Jacquelyn Hill | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-12 |
| 1346854346 | Whitney O'brien | Dietitian, Registered | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-07 |
| 1548873318 | Kelly Huston | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-31 |
| 1427669423 | Dianna Louise Tompkins | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-12 |
| 1235748021 | Treasure Victoria Bright | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-28 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1922616051 | Katie Reel | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-15 |
| 1437767688 | Bethany Pope | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-14 |
| 1629696596 | Caroline Heider | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on DR. KEIVAN TAVAKOLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.