Kenneth    Ngo    MD
Contract Details
Brooks Rehabilitation Medical Group
Facility name
Provider ID
P000000001
NPI
1609097344
Tax ID
593284221
Effective Date
2/13/2020
Last Updated
6/13/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_439
Location Details
Address
3599 University Blvd South
Jacksonville, FL 32216
United States
Phone
903-435-7619 (Phone)
Billing Details
Address
P.O. Box 748201
Atlanta, GA 30374
Specialty Type
Physical Medicine & Rehabilitation
Website
Visit Website
Map
Address