Robert B Dehgan Md Pa in Jacksonville - Neuromusculoskeletal Medicine, Sports Medicine
Robert B Dehgan Md Pa - NPI 1841463601
Robert B Dehgan Md Pa is a Neuromusculoskeletal Medicine, Sports Medicine in Jacksonville, Florida. Robert B Dehgan Md Pa practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Robert B Dehgan Md Pa is 1841463601. The last update date is 2009-09-02.
Robert B Dehgan Md Pa's current location address is 460 Osceola Ave, Jacksonville, Florida. You can contact this provider via phone number 9042471919 and fax number 9042460301. The mailing address for Robert B Dehgan Md Pa is 460 Osceola Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert B Dehgan Md Pa |
|---|---|
| Address | 460 Osceola Ave, Jacksonville, Florida |
| Phone Number | 9042471919 |
| Fax Number | 9042460301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/ OWNER |
|---|---|
| Authorized Official Name | Dehgan B Robert |
| Credentials | MD |
| Telephone Number | 9047949180 |
NPI Number Detail
| NPI Number | 1841463601 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2009-09-02 |
Provider Mailing Address Detail
| Address | 460 Osceola Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322504078 |
| Phone Number | 9042471919 |
| Fax Number | 9042460301 |
Provider's Primary Taxonomy Detail
| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
|---|---|
| Taxonomy | 204C00000X |
| Licence No | ME16903 |
|
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49429101 | FL | -- | |
| 16803 | FL | BCBS | |
| 250011286 | FL | RR MEDICARE |
Post Comment/ Review Below
What is the Robert B Dehgan Md Pa's unique identification number?
The Robert B Dehgan Md Pa has been assigned the NPI (National Provider Identifier) Number 1841463601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Robert B Dehgan Md Pa is physically located?
The Robert B Dehgan Md Pa is physically situated at the following address: 460 Osceola Ave, Jacksonville, FL, 322504078.
What is the Robert B Dehgan Md Pa's specialty and taxonomy code?
The Robert B Dehgan Md Pa's specialty is Neuromusculoskeletal Medicine, Sports Medicine, and the corresponding taxonomy code is 204C00000X.
On what date did the Robert B Dehgan Md Pa receive the assignment of its 1841463601 from the Centers for Medicare & Medicaid Services?
The Robert B Dehgan Md Pa was issued its 1841463601 by the Centers for Medicare & Medicaid Services on 2008-04-11.
When was the information pertaining to Robert B Dehgan Md Pa most recently updated or revised?
The details related to Robert B Dehgan Md Pa, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-02.