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J&e Jackson Enterprises, Pllc
Podiatric Clinic/Center in Fleming Island, Florida
NPI 1346625522

J&e Jackson Enterprises, Pllc is a Podiatric Clinic/Center based in Fleming Island, FL and is specialized in Podiatric. J&e Jackson Enterprises, Pllc practices in Fleming Island, FL. The NPI Number for J&e Jackson Enterprises, Pllc is 1346625522 and holds a License No. PO3484 (Florida).

The current practice location address for J&e Jackson Enterprises, Pllc is 1677 Eagle Harbor Pkwy # C, Fleming Island, FL and can be reached out via phone at 904-278-5112.

Location: 1677 Eagle Harbor Pkwy # C, Fleming Island, FL, 32003-4802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346625522
Provider Name
J&e Jackson Enterprises, Pllc
Credential
Provider Entity Type
Organization
Address
1677 Eagle Harbor Pkwy # C, Fleming Island, FL, 32003-4802
Phone Number
904-278-5112
Fax Number
Provider Enumeration Date
07/29/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FD5660 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1677 Eagle Harbor Pkwy # C
City
Fleming Island
State
Florida
Zip
32003-4802
Phone Number
904-278-5112
Fax Number
person
Provider Business Mailing Address Details
Address
1677 Eagle Harbor Pkwy # C
City
Fleming Island
State
Florida
Zip
32003-4802
Phone Number
904-278-5112
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
PO3484 (Florida)
Definition
Definition to come...
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