SearchFlorida207XX0005X

Edward Jackson, MD

NPI 1710129408 · on the registry since 2009

Practice

Address
3334 Capital Medical Blvd #400
Tallahassee, FL 32308
Phone
(850) 877-8174
Fax
(850) 877-5636
Clinicians at this address
4

Registry record

Primary taxonomy
207XX0005X
207XX0005X
Also registered as
207X00000X
207X00000X
207X00000X
Licence states on file
TX, FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-13

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