SearchFlorida207RI0200X

Jerry Jackson, MD

NPI 1881874584 · on the registry since 2007 · sole proprietor

Practice

Address
3142 Northside Dr
Key West, FL 33040
Phone
(305) 615-3300
Organisation at this address
Malibiano, Inc.
Id Consults And Services, Pa
Id Consults And Services, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207RI0200X
207RI0200X
Also registered as
207R00000X
207RI0200X
2083P0011X
Licence states on file
FL, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-21

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