Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON C JACKSON, M.D.
Active Sole ProprietorDR. JON C JACKSON, M.D. is a Specialist healthcare provider located in PORT ORANGE, Florida. NPI 1093724551 is currently active in the NPPES registry. Verify at CMS.
Specialist · PORT ORANGE, FL
Registration Details
- NPI Number
- 1093724551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (19.990722978212 yrs)
- Last Updated
- Jul 9, 2007
- License
-
ME28054 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4770 S RIDGEWOOD AVEPORT ORANGE, FL, 321274544Browse FL providers · Browse ZIP 32127
- Phone
- 3867610050
- Fax
- 3867611167
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| ANTHONY CARMINE PICCHIELLO | MD | 1891776399 |
| DR. C. LAWRENCE SLADE | M.D. | 1750367827 |
| TINA G EVANS | MASSAGE THERAPIST | 1649488933 |
| CINDY W VOLA | OT | 1598968554 |
| MS. SHEREE GENEVIEVE URICH | LMT | 1891978185 |
| RAQUEL MASCORRO | — | 1477730570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.