ROBERT B DEHGAN MD PA NPI 1841463601

NPI Information

  • NPI: 1841463601
  • Provider Name: ROBERT B DEHGAN MD PA
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Organization
  • Address: 6500 CRILL AVE
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 325-0570

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NPI Details

ROBERT B DEHGAN MD PA is a neuromusculoskeletal medicine sports medicine in Palatka, FL. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ ROBERT B DEHGAN MD PA NPI is 1841463601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6500 CRILL AVE
PALATKA, FL
ZIP 32177-807
Phone: (386) 325-0570

The provider's authorized official is Robert B Dehgan .
The authorized official title is Ceo/ Owner and has the following contact phone number (904) 794-9180.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 9/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineME16903FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116803OTHERFLORIDABCBS
2250011286OTHERFLORIDARR MEDICARE
3049429101MEDICAIDFLORIDA
4D85161MEDICARE UPINFLORIDA
5AJ254MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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