Search › Florida › 235Z00000X
John Jackson
NPI 1063073310 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2143 Mohawk Trl
Maitland, FL 32751 - Phone
- (407) 782-5219
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida