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Organization
REGENERATIVE MEDICINE OF NORTH FLORIDA LLC
Active
Organization
REGENERATIVE MEDICINE OF NORTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL FOSS DC (OWNER)
(786) 370-1111
Entity
Organization
Contact information
Practice address
4540 SOUTHSIDE BLVD STE 401, JACKSONVILLE, FL 32216-5488
(321) 323-3618
Mailing address
PO BOX 24556, JACKSONVILLE, FL 32241-4556
(786) 370-1111
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/22/2020
Last updated
12/10/2023
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