institution
Robert B Dehgan Md Pa
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Jacksonville, Florida
NPI 1750555777

Robert B Dehgan Md Pa is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Jacksonville, FL. Robert B Dehgan Md Pa practices in Jacksonville, FL. The NPI Number for Robert B Dehgan Md Pa is 1750555777 and holds a License No. ME 16903 (Florida).

The current practice location address for Robert B Dehgan Md Pa is 460 Osceola Ave, Jacksonville, FL and can be reached out via phone at 904-247-1919 and via fax at 904-246-0301.

Location: 460 Osceola Ave, Jacksonville, FL, 32250-4078
institution
Provider Profile Details
NPI Number
1750555777
Provider Name
Robert B Dehgan Md Pa
Credential
Provider Entity Type
Organization
Address
460 Osceola Ave, Jacksonville, FL, 32250-4078
Phone Number
904-247-1919
Fax Number
904-246-0301
Provider Enumeration Date
04/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16803 01 FL BCBS
250011286 01 FL RR MEDICARE
049429100 05 FL
institution
Provider Business Practice Location Address Details
Address
460 Osceola Ave
City
State
Zip
32250-4078
Phone Number
904-247-1919
Fax Number
904-246-0301
person
Provider Business Mailing Address Details
Address
460 Osceola Ave
City
State
Zip
32250-4078
Phone Number
904-247-1919
Fax Number
904-246-0301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
ME 16903 (Florida)
Definition
Definition to come.
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