| Florida Injury & Regenerative Medicine, Pllc | |
|
3033 Hartley Rd Ste 6 Jacksonville FL 32257-6280 | |
| (190) 448-1111 | |
| (832) 442-3800 |
| Full Name | Florida Injury & Regenerative Medicine, Pllc |
|---|---|
| Speciality | Chiropractor |
| Location | 3033 Hartley Rd Ste 6, Jacksonville, Florida |
| Authorized Official Name and Position | Kirt W Repp (MEMBER / AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2818316290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Injury & Regenerative Medicine, Pllc 101 Marketside Ave # 404-777 Ponte Vedra FL 32081-1541 Ph: (904) 481-1111 | Florida Injury & Regenerative Medicine, Pllc 3033 Hartley Rd Ste 6 Jacksonville FL 32257-6280 Ph: (190) 448-1111 |
| NPI Number | 1528680220 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528680220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
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