Jackson Center, Pa in Naples - Dermatology
Jackson Center, Pa - NPI 1417013707
Jackson Center, Pa is a Dermatology in Naples, Florida. Jackson Center, Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jackson Center, Pa is 1417013707. The last update date is 2023-02-17.
Jackson Center, Pa's current location address is 4500 Executive Dr Ste 300, Naples, Florida. You can contact this provider via phone number 2395989009 and fax number 2395985009. The mailing address for Jackson Center, Pa is 4500 Executive Dr Ste 300, Naples, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Center, Pa |
|---|---|
| Address | 4500 Executive Dr Ste 300, Naples, Florida |
| Phone Number | 2395989009 |
| Fax Number | 2395985009 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jackson Ryan Jon |
| Credentials | MD |
| Telephone Number | 2395989009 |
NPI Number Detail
| NPI Number | 1417013707 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2023-02-17 |
Provider Mailing Address Detail
| Address | 4500 Executive Dr Ste 300 |
|---|---|
| City | Naples |
| State | Florida (FL) |
| Post Code | 341198908 |
| Phone Number | 2395989009 |
| Fax Number | 2395985009 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Post Comment/ Review Below
What is the unique identification code assigned to Jackson Center, Pa by the Centers for Medicare & Medicaid Services?
The Jackson Center, Pa has been issued the NPI (National Provider Identifier) 1417013707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jackson Center, Pa's facilities are geographically located?
The facilities of Jackson Center, Pa are physically situated at the following location: 4500 Executive Dr Ste 300, Naples, FL, 341198908.
What is Jackson Center, Pa's area of expertise and its corresponding taxonomy classification?
The Jackson Center, Pa's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jackson Center, Pa receive its 1417013707 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Center, Pa was assigned its 1417013707 on 2006-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jackson Center, Pa's details last updated?
The information pertaining to the Jackson Center, Pa, including its address, specialty, and other details, was most recently updated on 2023-02-17.