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Chad Edwin Jackson, MS,ATC
Sports Medicine (Preventive Medicine) Physician in Fort Myers, Florida
NPI 1518484245

Chad Edwin Jackson is a Sports Medicine (Preventive Medicine) Physician based in Cape Coral, FL and is specialized in Sports Medicine. Chad Edwin Jackson practices in Fort Myers, FL and has the professional credentials of MS,ATC. The NPI Number for Chad Edwin Jackson is 1518484245 and holds a License No. AL2986 (Florida).

The current practice location address for Chad Edwin Jackson is 14110 Six Mile Cypress Pkwy, Fort Myers, FL and can be reached out via phone at 239-479-6411 and via fax at 239-768-2032.

Location: 14110 Six Mile Cypress Pkwy, Fort Myers, FL, 33990-1109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518484245
Provider Name
Chad Edwin Jackson
Credential
MS,ATC
Provider Entity Type
Individual
Gender
Male
Address
14110 Six Mile Cypress Pkwy, Fort Myers, FL, 33990-1109
Phone Number
239-479-6411
Fax Number
239-768-2032
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14110 Six Mile Cypress Pkwy
City
Fort Myers
State
Florida
Zip
33912-4314
Phone Number
239-479-6411
Fax Number
239-768-2032
person
Provider Business Mailing Address Details
Address
14110 Six Mile Cypress Pkwy
City
Fort Myers
State
Florida
Zip
33912-4314
Phone Number
239-479-6411
Fax Number
239-768-2032
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
AL2986 (Florida)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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