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Search › Florida › 207X00000X

Jason Thackeray, M.D

NPI 1235133646 · on the registry since 2005

Practice

Address
1034 Mar Walt Dr
Suite 100
Fort Walton Beach, FL 32547
Phone
(850) 863-2153
Fax
(850) 863-2885
Organisation at this address
James F. Watt Do Pa
Theodore I Macey Md Pa
Mark J Tenholder Md Pa
John C Warburton Md Pa
Jason W Thackeray Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
207X00000X
207X00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-29

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