Search › Florida › 106S00000X
Mikaela Jackson
NPI 1588178859 · on the registry since 2017
Practice
- Address
- 791 Rinehart Rd
Lake Mary, FL 32746 - Phone
- (407) 413-9550
- Organisation at this address
- Florida Autism Center
Florida Autism CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 101
Additional practice sites
- 500 Fairway Dr Ste 102, Deerfield Beach, FL
- 500 Fairway Dr Ste 102, Deerfield Beach, FL
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-18
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