Individual
MR. KHOSROW MALEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 1ST ST N, UNIT 701, JACKSONVILLE BEACH, FL 32250-7198
(904) 687-5179
Mailing address
917 1ST ST N, UNIT 701, JACKSONVILLE BEACH, FL 32250-7198
(904) 687-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0026203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065167200
—
FL
Enumeration date
11/20/2006
Last updated
05/08/2013
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