GHAZAL S VAFABAKHSH


Address: 1301 Palm Ave, Jacksonville, FL 32207-8432
Phone: 9042027300

GHAZAL S VAFABAKHSH (NPI# 1689135998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689135998
Entity Type Individual
Full Name GHAZAL S VAFABAKHSH
Practice Address 1301 Palm Ave
Jacksonville
FL 32207-8432
Mailing Address Po Box 45278
Jacksonville
FL 32232-5278
Practice Telephone 9042027300
Practice Fax Number 9042027433
Mailing Telephone 9042022092
Mailing Fax Number 9043937603
Enumeration Date 2019-03-28
Last Update Date 2020-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9112314 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2407 Golden Bell Ln, Fleming Island, FL 320033372 9043433962

Office Location

Street Address 1301 PALM AVE
City JACKSONVILLE
State FL
Zip Code 32207-8432

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134112261 Russell B Smith Otolaryngology 1301 Palm Ave, Jacksonville, FL 32207-8432 2005-08-24
1669096897 Kimberly Nguyen Blythe Nurse Practitioner 1301 Palm Ave, Jacksonville, FL 32207-8432 2020-06-03
1609409945 Emma Kate Alpert Physician Assistant 1301 Palm Ave, Jacksonville, FL 32207-8432 2020-02-14
1053964403 Caitlyn Mitchell Genetic Counselor, MS 1301 Palm Ave, Jacksonville, FL 32207-8432 2019-07-24
1972167740 Jessica C Terrell Nurse Practitioner 1301 Palm Ave, Jacksonville, FL 32207-8432 2019-04-27
1710456215 Jacquelene Marie Carson Nurse Practitioner 1301 Palm Ave, Jacksonville, FL 32207-8432 2018-11-14
1770059008 Leslie Shannan Weaver Nurse Practitioner 1301 Palm Ave, Jacksonville, FL 32207-8432 2018-10-14
1659852325 Patrick Alan Regis Nurse Practitioner 1301 Palm Ave, Jacksonville, FL 32207-8432 2018-08-22
1568941276 Baptist-southeast Gynecologic Oncology Associates Inc Internal Medicine 1301 Palm Ave, Jacksonville, FL 32207 2018-08-13
1306323928 Ashley Kohler Physician Assistant 1301 Palm Ave, Jacksonville, FL 32207-8432 2018-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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