Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD A JACKSON, M.D.
ActiveDR. EDWARD A JACKSON, M.D. is a Family Medicine healthcare provider located in ORLANDO, Florida. NPI 1639104029 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ORLANDO, FL
Registration Details
- NPI Number
- 1639104029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.095288097892 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
4301046128 (MI)ME129390 (FL)
Practice Information
- Address
-
7975 LAKE UNDERHILL RD STE 200ORLANDO, FL, 328228204Browse FL providers · Browse ZIP 32822
- Phone
- 4073036830
- Fax
- 4073038659
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J KERKES | MD | 1316943905 |
| CARMINE GIPSON | MD | 1649278979 |
| ALEXANDER FISHBERG | MD | 1225038391 |
| MR. EDSEL J COMENENCIA | MD | 1942201561 |
| MRS. NEMA C ORIEL-COMENENCIA | MD | 1184625675 |
| ARTHUR L. HALL | M.D. | 1093717613 |
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.