# ROBERT B DEHGAN MD PA

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

## Provider details

- **NPI number:** 1841463601
- **Authorized official:** ROBERT B DEHGAN MD (CEO/ OWNER)
- **Authorized official phone:** (904) 794-9180

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 09/02/2009