Organization
FLORIDA INJURY & REGENERATIVE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRT W REPP (MEMBER / AUTHORIZED REPRESENTATIVE)
(281) 831-6290
Entity
Organization
Contact information
Practice address
3033 HARTLEY RD STE 6, JACKSONVILLE, FL 32257-6280
(190) 448-1111
(832) 442-3800
Mailing address
101 MARKETSIDE AVE # 404-777, PONTE VEDRA, FL 32081-1541
(904) 481-1111
(832) 442-3800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/15/2020
Last updated
04/07/2026
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