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

DR. LEWIS JACKSON JR., M.D.

Active Sole Proprietor

DR. LEWIS JACKSON JR., M.D. is a Geriatric Medicine healthcare provider located in MIAMI, Florida. NPI 1710040480 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · MIAMI, FL

Registration Details

NPI Number
1710040480
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2006 (19.638690181267 yrs)
Last Updated
Jul 8, 2007
License
ME94517 (FL)
Sole Proprietor
Yes

Practice Information

Address
1611 NW 12TH AVE
MIAMI, FL, 331361005
Browse FL providers · Browse ZIP 33136
Phone
3055753388
Primary Specialty
Geriatric Medicine
207QG0300X

Other Geriatric Medicine Providers in MIAMI, FL

Name Credential NPI
IRENE LOPEZ-ALBELO M.D. 1528026762
DR. ENRIQUE JOSE AGUILAR 1730123688
ANTONIO C PINERA MD 1376575589
DR. RAFAEL AVELINO SOTO M.D. 1215948674
DR. ARTHUR MCCLUNEY COWDEN II D.O. 1710056130
DR. JOSE EDWARDO GONZALEZ 1164637674
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.