Bryce V Jackson is a Specialist in Panama City, Florida. Bryce V Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bryce V Jackson is 1467423632. The last update date is 2011-09-27.
Bryce V Jackson's current location address is 1937 Harrison Ave, Panama City, Florida. You can contact this provider via phone number 8507846877 and fax number 8507855346. The mailing address for Bryce V Jackson is 1937 Harrison Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryce V Jackson |
|---|---|
| Address | 1937 Harrison Ave, Panama City, Florida |
| Phone Number | 8507846877 |
| Fax Number | 8507855346 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467423632 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2011-09-27 |
Provider Mailing Address Detail
| Address | 1937 Harrison Ave |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324054543 |
| Phone Number | 8507846877 |
| Fax Number | 8507855346 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME48532 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43532500 | FL | -- | |
| 3638 | FL | BCBS OF FL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bryce V Jackson by the Centers for Medicare & Medicaid Services?
The Bryce V Jackson has been assigned the NPI (National Provider Identifier) 1467423632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Bryce V Jackson located?
The Bryce V Jackson is located at 1937 Harrison Ave, Panama City, FL 324054543.
What is the Bryce V Jackson's area of specialization and corresponding taxonomy classification?
The Bryce V Jackson's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1467423632 to Bryce V Jackson?
The Centers for Medicare & Medicaid Services assigned the 1467423632 to Bryce V Jackson on 2006-01-27.
As of what date were the details related to Bryce V Jackson most recently updated or revised?
The information pertaining to Bryce V Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-27.
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