Healthcare Provider Details

I. General information

NPI: 1952239204
Provider Name (Legal Business Name): HAFIZ ALI RAZA M.B.B.S
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HCA FLORIDA ORANGE PARK HOSPITAL 2001 KINGSLEY AVE
ORANGE PARK FL
32073
US

IV. Provider business mailing address

HCA FLORIDA ORANGE PARK HOSPITAL 2001 KINGSLEY AVE
ORANGE PARK FL
32073
US

V. Phone/Fax

Practice location:
  • Phone: 904-622-9200
  • Fax:
Mailing address:
  • Phone: 904-622-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: