Lewis Jackson in Miami Beach - Geriatric Medicine

Lewis Jackson - NPI 1710040480

Lewis Jackson is a Geriatric Medicine in Miami Beach, Florida. Lewis Jackson practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Lewis Jackson is 1710040480. The last update date is 2007-07-08.

Lewis Jackson's current location address is 7125 Bay Dr, Miami Beach, Florida. You can contact this provider via phone number 3058672676. The mailing address for Lewis Jackson is 7125 Bay Dr, Miami Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis Jackson
Address 7125 Bay Dr, Miami Beach, Florida
Phone Number 3058672676
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710040480
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7125 Bay Dr
City Miami Beach
State Florida (FL)
Post Code 331415476
Phone Number 3058672676
Fax Number

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No ME94517
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

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FAQs about Lewis Jackson

What is the Lewis Jackson's 1710040480?

The Lewis Jackson's NPI (National Provider Identifier) Number is 1710040480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Lewis Jackson's facilities are situated?

The facilities of Lewis Jackson are physically located at the following address: 7125 Bay Dr, Miami Beach, FL, 331415476.

What is Lewis Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lewis Jackson is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710040480 to Lewis Jackson?

The Lewis Jackson received its 1710040480 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.

When was the information regarding Lewis Jackson most recently updated?

The details pertaining to the Lewis Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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