person
Mr. David M Jackson, PA-C
Medical Physician Assistant in Orange City, Florida
NPI 1952338485

David M Jackson is a Medical Physician Assistant based in Orange Park, FL and is specialized in Medical. David M Jackson practices in Orange City, FL and has the professional credentials of PA-C. The NPI Number for David M Jackson is 1952338485 and holds a License No. 01108408409 (Florida).

The current practice location address for David M Jackson is 1133 Saxon Blvd, Orange City, FL and can be reached out via phone at 904-305-3221.

Location: 1133 Saxon Blvd, Orange City, FL, 32073-5668
person
Provider Profile Details
NPI Number
1952338485
Provider Name
David M Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1133 Saxon Blvd, Orange City, FL, 32073-5668
Phone Number
904-305-3221
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003373900 05 FL
Y06YY 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1133 Saxon Blvd
City
State
Zip
32763-0000
Phone Number
904-305-3221
Fax Number
person
Provider Business Mailing Address Details
Address
1133 Saxon Blvd
City
State
Zip
32763-0000
Phone Number
904-305-3221
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01108408409 (Virginia)
Definition
Definition to come...
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