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

MR. VIRGIL ALOTHIN JACKSON

Active Sole Proprietor

Home Health · FORT PIERCE, FL

Registration Details

NPI Number
1568825727
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2016 (10.074124998199 yrs)
Last Updated
Apr 4, 2016
License
251EOOOOOX (FL)
Sole Proprietor
Yes

Practice Information

Address
4003 AVENUE M
FORT PIERCE, FL, 349471865
Browse FL providers · Browse ZIP 34947
Phone
7723593127
Primary Specialty
Home Health
251E00000X

Other Home Health Providers in FORT PIERCE, FL

Name Credential NPI
ALICE ZANDRA HAUGABOOK 1972057032
SUZANNE DARVILLE 1811423536
MRS. CHRISTINE MARIE COMMOND 1962909333
CAMBREA N GOODMAN 1790278125
RONALD LEE DAMPIER 1255975843
JALENCIA DAUNYA WALKER 1417564139
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.