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Chaquera Jackson

NPI 1568809937 · on the registry since 2013

Practice

Address
1050 Se Monterey Rd Ste 400
Stuart, FL 34994
Phone
(772) 288-2400
Fax
(772) 419-0143
Organisation at this address
Shivspine Pllc
Gordon Baskin, Md Pa
Katz Pediatrics P.A.
Michele F Libman Md Pa
Employee Wellness, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Additional practice sites

  • 9401 Sw Discovery Way Ste 201, Port Saint Lucie, FL

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
2255A2300X
363AM0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-19

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