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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
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_441
Exhibit Attachment
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
904-345-7373
Specialty Type
Physical Medicine & Rehabilitation
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