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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY T JACKSON, DO

Active

KIMBERLY T JACKSON, DO is a Family Medicine healthcare provider located in MOUNT DORA, Florida. NPI 1346263449 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MOUNT DORA, FL

Registration Details

NPI Number
1346263449
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2006 (19.871103606472 yrs)
Last Updated
Feb 1, 2016
License
OS9724 (FL)

Practice Information

Address
2110 N DONNELLY ST
#200
MOUNT DORA, FL, 327576966
Browse FL providers · Browse ZIP 32757
Phone
3527358231
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MOUNT DORA, FL

Name Credential NPI
ROBERT DALE LYNCH MD 1841293198
SYLVIA BOLOCZKO MD 1063400893
DR. BRUCE MARSHALL WEAVER D.O. 1548244700
DR. SAM S LUK MD 1013982891
ROBERT A MARTELLO DO 1205879236
GERALD EDWARD REYNOLDS D.O. 1942392873
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.