Michael Gerard Jackson MD

NPI 1437354339 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1437354339
Gender Male
Enumeration Date 06/19/2007
Last Updated 03/29/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
16650 N DALE MABRY HWY
TAMPA FL, 33618-1400, US
Phone (813) 284-2229
Fax (813) 377-1681
Business Location
38135 MARKET SQ
ZEPHYRHILLS FL, 33542-7505, US
Phone (813) 528-4975
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME110404
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According to our database, Dr. Michael Gerard Jackson MD NPI is 1437354339, taxonomy code is 207V00000X and license number is ME110404, license state is located at Florida. Michael Gerard Jackson MD physically located at 16650 N Dale Mabry Hwy, Tampa FL, 33618-1400. NPI Number Michael Gerard Jackson MD has the Individual type.

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1437354339 NPI number is provided on an as is basis without warranty of any kind. 1437354339 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gerard Jackson MD are for informational purposes only.