Individual
DR. ALI CHAHLAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4205 BELFORT RD, JOE ADAMS BUILDING SUITE 1100, JACKSONVILLE, FL 32216-5876
(904) 296-3103
(904) 296-3106
Mailing address
4205 BELFORT RD, JOE ADAMS BUILDING SUITE 1100, JACKSONVILLE, FL 32216-1471
(904) 296-3103
(904) 296-3106
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME95578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95578
MEDICAL LICENSE
FL
Enumeration date
05/09/2006
Last updated
05/28/2014
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