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Jackson Tan, M.D., PH.D., P.T
NPI 1649303934 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6144 Gazebo Park Pl S Ste 101
Jacksonville, FL 32257 - Phone
- (904) 260-3011
- Fax
- (904) 260-3170
- Organisation at this address
- Jacksonville Internal Medicine
Avenues Cancer Care Institute, Llc
Occupational And Rehabilitation Center PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1409 Kingsley Ave Bldg 3, Orange Park, FL
- 2425 Dunn Ave Ste 1, Jacksonville, FL
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida