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
—
—
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
08/14/2026
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