Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROOSEVELT T JACKSON JR., M.D.
Active Sole ProprietorROOSEVELT T JACKSON JR., M.D. is a Family Medicine healthcare provider located in RIVIERA BEACH, Florida. NPI 1295951374 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RIVIERA BEACH, FL
Registration Details
- NPI Number
- 1295951374
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.324641672899 yrs)
- Last Updated
- Dec 17, 2018
- Licenses
-
ME45529 (FL)ME45529 (FL)ME45529 (FL)ME45529 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 W 20TH ST STE 100RIVIERA BEACH, FL, 334046155Browse FL providers · Browse ZIP 33404
- Phone
- 5615100471
- Fax
- 5613312715
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Addiction Medicine (Family Practice)
Other Family Medicine Providers in RIVIERA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| DR. SONIA N MELWANI | D.O | 1720076920 |
| DR. MICHAEL SASONI | D.O. | 1568496909 |
| CELESTE JUNE LI | M.D. | 1275606105 |
| DR. ALI YASSER EL SERGANY | M.D. | 1871650002 |
| MONICA WALKER | M.D. | 1003950551 |
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.