Search › Florida › 174400000X
Jon Jackson, M.D
NPI 1093724551 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4770 S Ridgewood Ave
Port Orange, FL 32127 - Phone
- (386) 761-0050
- Fax
- (386) 761-1167
- Organisation at this address
- Edward Merkle
Primary Care Of Port Orange
Primary Care Center Of Port Orange
Insightful Therapeutic Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida