ROBERT B DEHGAN MD PA (NPI# 1750555777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750555777 |
| Entity Type | Organization |
| Organization Name | ROBERT B DEHGAN MD PA |
| Practice Address |
460 Osceola Ave Jacksonville FL 32250-4078 |
| Practice Telephone | 9042471919 |
| Practice Fax Number | 9042460301 |
| Mailing Telephone | 9042471919 |
| Mailing Fax Number | 9042460301 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | ROBERT B DEHGAN (CEO/OWNER) |
| Authorized Official Telephone | 9042471919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | ME 16903 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049429100 | 05 | |
| FL | BCBS | 16803 | 01 |
| FL | RR MEDICARE | 250011286 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841463601 | Robert B Dehgan Md Pa | Neuromusculoskeletal Medicine, Sports Medicine | 6500 Crill Ave, Palatka, FL 32177-6807 | 2008-04-11 |
| Street Address |
460 OSCEOLA AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-4078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083759914 | Wilbert J Matz | Neuromusculoskeletal Medicine, Sports Medicine | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2007-02-20 |
| 1306935093 | Robert B Dehgan | Neuromusculoskeletal Medicine, Sports Medicine | 3720 Beach Blvd, Jacksonville, FL 32207-3814 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810540 | Charles L Carr Jr Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 4335 Cheval Blvd, Lutz, FL 33558-5328 | 2020-01-09 |
| 1871057836 | Nextstep Orlando | Neuromusculoskeletal Medicine, Sports Medicine | 330 Harbour Isle Way Unit 1090, Longwood, FL 32750-3979 | 2019-01-24 |
| 1124512371 | Jennifer Lynn Wiersma | Neuromusculoskeletal Medicine, Sports Medicine | 346 Se 5th Ave, Delray Beach, FL 33483-5209 | 2018-06-20 |
| 1548602840 | Shaun Notman | Neuromusculoskeletal Medicine, Sports Medicine | 1700 South Tamiami Trl, Sarasota, FL 34277 | 2013-07-27 |
| 1487920237 | North Florida Treatment Centers, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 601 N Bumby Ave Ste C, Orlando, FL 32803-4904 | 2012-03-27 |
| 1093049579 | Hem M Bhatt | Neuromusculoskeletal Medicine, Sports Medicine | 2298 Sw Golden Bear Way, Palm City, FL 34990-8803 | 2009-09-30 |
| 1730383993 | Alfred B Chapman | Neuromusculoskeletal Medicine, Sports Medicine | 1221 Rogers St, Suite B, Clearwater, FL 33756-5900 | 2007-06-12 |
| 1780887760 | Tamarac Physicians Group Inc | Neuromusculoskeletal Medicine, Sports Medicine | 8287 Nw 88th Ave, Tamarac, FL 33321-1541 | 2007-06-07 |
| 1366563066 | Stephen R Wood Do Pa | Neuromusculoskeletal Medicine, Sports Medicine | 13211 Walsingham Rd, Largo, FL 33774-3518 | 2007-04-02 |
| 1376673178 | Luis E Crespo | Neuromusculoskeletal Medicine, Sports Medicine | 5041 W Cypress St, Tampa, FL 33607-3851 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.