# OCCUPATIONAL AND REHABILITATION CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164507422
- **Authorized official:** DR. JACKSON TAN M.D., PH.D., P.T. (PRESIDENT)
- **Authorized official phone:** (904) 260-3011

## Contact information

- **Practice address:** 6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
- **Practice address phone:** (904) 260-3011
- **Practice address fax:** (904) 260-3170
- **Mailing address:** 6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257-1086
- **Mailing address phone:** (904) 260-3011
- **Mailing address fax:** (904) 260-3170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/14/2026