Jackson Chio Tan in Jacksonville - Rehabilitation Practitioner
Jackson Chio Tan - NPI 1649303934
Jackson Chio Tan is a Rehabilitation Practitioner in Jacksonville, Florida. Jackson Chio Tan practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Jackson Chio Tan is 1649303934. The last update date is 2023-11-05.
Jackson Chio Tan's current location address is 6144 Gazebo Park Pl S Ste 101, Jacksonville, Florida. You can contact this provider via phone number 9042603011 and fax number 9042603170. The mailing address for Jackson Chio Tan is 6144 Gazebo Park Pl S Ste 101, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson Chio Tan |
|---|---|
| Address | 6144 Gazebo Park Pl S Ste 101, Jacksonville, Florida |
| Phone Number | 9042603011 |
| Fax Number | 9042603170 |
| Sole Proprietor | Y |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1649303934 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2023-11-05 |
Provider Mailing Address Detail
| Address | 6144 Gazebo Park Pl S Ste 101 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322571086 |
| Phone Number | 9042603011 |
| Fax Number | 9042603170 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation Practitioner |
|---|---|
| Taxonomy | 225400000X |
| Licence No | ME0071587 |
|
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jackson Chio Tan by the Centers for Medicare & Medicaid Services (CMS)?
The Jackson Chio Tan has been assigned the NPI (National Provider Identifier) 1649303934. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jackson Chio Tan's facilities are geographically located?
The facilities of Jackson Chio Tan are physically situated at the following location: 6144 Gazebo Park Pl S Ste 101, Jacksonville, FL, 322571086.
What is Jackson Chio Tan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Chio Tan's area of specialization is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 225400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649303934 to Jackson Chio Tan?
The Jackson Chio Tan received its 1649303934 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information related to Jackson Chio Tan most recently updated or refreshed?
The details pertaining to the Jackson Chio Tan, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-05.
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