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Colton Jackson, DO
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1568813038

Colton Jackson is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Colton Jackson practices in Bradenton, FL and has the professional credentials of DO. The NPI Number for Colton Jackson is 1568813038 and holds a License No. UO5192 (Florida).

The current practice location address for Colton Jackson is 379 6Th Ave W, Bradenton, FL and can be reached out via phone at 941-782-4100 and via fax at 941-782-4101.

Location: 379 6Th Ave W, Bradenton, FL, 34206-9478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568813038
Provider Name
Colton Jackson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
379 6Th Ave W, Bradenton, FL, 34206-9478
Phone Number
941-782-4100
Fax Number
941-782-4101
Provider Enumeration Date
06/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
379 6Th Ave W
City
Bradenton
State
Florida
Zip
34205-8820
Phone Number
941-782-4100
Fax Number
941-782-4101
person
Provider Business Mailing Address Details
Address
379 6Th Ave W
City
Bradenton
State
Florida
Zip
34205-8820
Phone Number
941-782-4100
Fax Number
941-782-4101
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
UO5192 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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