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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON CHIO TAN, M.D., PH.D., P.T.

Active Sole Proprietor

JACKSON CHIO TAN, M.D., PH.D., P.T. is a Physical Medicine & Rehabilitation healthcare provider located in JACKSONVILLE, Florida. NPI 1649303934 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · JACKSONVILLE, FL

Registration Details

NPI Number
1649303934
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2007 (19.232273586375 yrs)
Last Updated
Nov 5, 2023
Licenses
ME0071587 (FL)
ME71587 (FL)
Sole Proprietor
Yes

Practice Information

Address
6144 GAZEBO PARK PL S STE 101
JACKSONVILLE, FL, 322571086
Browse FL providers · Browse ZIP 32257
Phone
9042603011
Fax
9042603170
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in JACKSONVILLE, FL

Name Credential NPI
ROBERT G. SAVARESE D.O. 1891799664
CHARLES M DEMPSEY MD 1427040062
PETER DORSHER MD 1154311074
DR. GUDNI THORSTEINSSON M.D. 1881684702
THOMAS RIZZO MD 1689664435
DR. MONICA J CARRION-JONES MD 1972587301
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.