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Search › Florida › 310400000X

Mardell Jackson

NPI 1598247009 · on the registry since 2018 · sole proprietor

Practice

Address
197 Nw Gwen Lake Ave
Lake City, FL 32055
Phone
(386) 697-9425
Organisation at this address
Mvp Medical Transit Llc
Golden Manor Assisted Living Facility Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
310400000X
310400000X
Sex
Male
Record last updated
2018-08-30

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