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

DR. EDWARD ROBERT JACKSON II, MD

Active

DR. EDWARD ROBERT JACKSON II, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in TALLAHASSEE, Florida. NPI 1710129408 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · TALLAHASSEE, FL

Registration Details

NPI Number
1710129408
Provider Type
Individual
Gender
Male
NPI Issued
Mar 27, 2009 (17.417291308211 yrs)
Last Updated
Sep 13, 2022
Licenses
BP10016960 (TX)
ME107624 (FL)
063075 (GA)
63075 (GA)

Practice Information

Address
3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE, FL, 323084470
Browse FL providers · Browse ZIP 32308
Phone
8508778174
Fax
8508775636
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery

Other Adult Reconstructive Orthopaedic Surgery Providers in TALLAHASSEE, FL

Name Credential NPI
FLOYD R JAGGEARS MD 1285637033
ANDREW M WONG MD 1407859226
GARRISON A ROLLE MD 1700889540
DR. DAVID JASON OBERSTE M.D. 1609860451
HECTOR A MEJIA MD 1417094798
JORDAN DANIEL WALTERS MD 1720406945
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.