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Organization
OCCUPATIONAL AND REHABILITATION CENTER PA
Active
Organization
OCCUPATIONAL AND REHABILITATION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON TAN M.D., PH.D., P.T. (PRESIDENT)
(904) 260-3011
Entity
Organization
Contact information
Practice address
6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
(904) 260-3011
(904) 260-3170
Mailing address
6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
(904) 260-3011
(904) 260-3170
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/14/2026
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