# JRC FLEMING ISLAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Joint Regeneration Clinic of Fleming Island
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811601909
- **Authorized official:** ROBERT L KENNY JR. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (904) 834-0471

## Contact information

- **Practice address:** 4711 US HIGHWAY 17 STE B1, FLEMING ISLAND, FL 32003-8251
- **Practice address phone:** (904) 833-5633
- **Mailing address:** 4711 US HIGHWAY 17 STE B1, FLEMING ISLAND, FL 32003-8251

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 01/12/2023