Organization
JRC FLEMING ISLAND
Active
Other names
Joint Regeneration Clinic of Fleming Island
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L KENNY JR. (AUTHORIZED OFFICIAL)
(904) 834-0471
Entity
Organization
Contact information
Practice address
4711 US HIGHWAY 17 STE B1, FLEMING ISLAND, FL 32003-8251
(904) 833-5633
Mailing address
4711 US HIGHWAY 17 STE B1, FLEMING ISLAND, FL 32003-8251
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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