Provider Demographics
NPI:1619949880
Name:CHOKSHI, AMIT RASIK (MD)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:RASIK
Last Name:CHOKSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11945 SAN JOSE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-1627
Mailing Address - Country:US
Mailing Address - Phone:904-396-1725
Mailing Address - Fax:904-396-4893
Practice Address - Street 1:1325 SAN MARCO BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8568
Practice Address - Country:US
Practice Address - Phone:904-346-3506
Practice Address - Fax:904-733-2532
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90282207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023898000Medicaid
FL44035OtherBCBS-FL
FL44035XOtherMEDICARE
FLP01375301OtherRAILROAD MEDICARE
GA388091045AMedicaid
FLP00140469Medicare PIN