Individual
DR. ALI KHOSRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1447 MEDICAL PARK BLVD, #402, WELLINGTON, FL 33414
(561) 790-2600
(561) 790-1535
Mailing address
1447 MEDICAL PARK BLVD, #402, WELLINGTON, FL 33414
(561) 790-2600
(561) 790-1535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME70966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47177100
—
FL
Enumeration date
07/05/2006
Last updated
02/12/2026
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