Contract Details
Physical Medicine Specialists
Facility name
Brooks Rehabilitation Medical Group
Provider ID
P000000001
NPI
1952343261
Tax ID
593530305
Effective Date
4/11/2022
Last Updated
3/15/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_441
Location Details
Address
6400 Brooks Bartram Drive
Jacksonville, FL 32258
United States
Phone
904-345-7373 (Phone)
Billing Details
Address
6400 Brooks Bartram Drive
Jacksonville, FL 32258
Billing Phone
Specialty Type
Physical Medicine & Rehabilitation
Website
Map
Address