John Jackson is a General Practice in Miami, Florida. John Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Jackson is 1184607541. The last update date is 2020-03-27.
John Jackson's current location address is 111 Nw 183rd St Ste 306, Miami, Florida. You can contact this provider via phone number 3057056688 and fax number 3059461516. The mailing address for John Jackson is 111 Nw 183rd St Ste 306, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Jackson |
|---|---|
| Address | 111 Nw 183rd St Ste 306, Miami, Florida |
| Phone Number | 3057056688 |
| Fax Number | 3059461516 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184607541 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2020-03-27 |
Provider Mailing Address Detail
| Address | 111 Nw 183rd St Ste 306 |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331694599 |
| Phone Number | 3057056688 |
| Fax Number | 3059461516 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 37656 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25035200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Jackson by the Centers for Medicare & Medicaid Services?
The John Jackson has been issued the NPI (National Provider Identifier) 1184607541, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Jackson is geographically located?
The John Jackson is physically situated at the following location: 111 Nw 183Rd St Ste 306, Miami, FL, 331694599.
What is the John Jackson's specialty and taxonomy code?
The John Jackson's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the John Jackson receive the assignment of its 1184607541 from the Centers for Medicare & Medicaid Services?
The John Jackson was issued its 1184607541 by the Centers for Medicare & Medicaid Services on 2005-11-21.
When was the information pertaining to John Jackson most recently updated or revised?
The details related to John Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2020-03-27.