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Organization

ROBERT B DEHGAN MD PA

Active
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Organization

ROBERT B DEHGAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT B DEHGAN MD (CEO/ OWNER)
(904) 794-9180
Entity
Organization

Contact information

Practice address
6500 CRILL AVE, PALATKA, FL 32177-6807
(386) 325-0570
Mailing address
460 OSCEOLA AVE, JACKSONVILLE, FL 32250-4078
(904) 247-1919
(904) 246-0301

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
ME16903
FL

Other

Enumeration date
04/11/2008
Last updated
09/02/2009
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