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Dr. John Jackson JR., MD
General Practice Physician in Miami, Florida
NPI 1184607541

John Jackson JR. is a General Practice Physician based in Miami, FL. John Jackson JR. practices in Miami, FL and has the professional credentials of MD. The NPI Number for John Jackson JR. is 1184607541 and holds a License No. 37656 (Florida).

The current practice location address for John Jackson JR. is 111 Nw 183Rd St Ste 306, Miami, FL and can be reached out via phone at 305-705-6688. You can also correspond with John Jackson JR. through the mailing address at 111 NW 183RD ST STE 306, MIAMI, FL - 33169-4599 (mailing address contact number: 305-705-6688).

Location: 111 Nw 183Rd St Ste 306, Miami, FL, 33169-4599
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Provider Profile Details
NPI Number
1184607541
Provider Name
John Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Nw 183Rd St Ste 306, Miami, FL, 33169-4599
Phone Number
305-705-6688
Fax Number
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025035200 05 FL
institution
Provider Business Practice Location Address Details
Address
111 Nw 183Rd St Ste 306
City
State
Zip
33169
Phone Number
305-705-6688
Fax Number
person
Provider Business Mailing Address Details
Address
111 Nw 183Rd St Ste 306
City
State
Zip
33169-4599
Phone Number
305-705-6688
Fax Number
305-946-1516
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
37656 (Florida)
Definition
Definition to come...
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