Individual
AYESHA ASIM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(352) 596-6632
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
01/30/2026
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