JORDAN VAN JACKSON

BRANDON, FL
NPI1225598865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: FL  OS20918)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-20
Last Update Date2024-08-12
Business Address
Dr. JORDAN VAN JACKSON DO
119 OAKFIELD DR
BRANDON, FL 33511-5779
Phone number: 813-681-5551
Mailing Address
Dr. JORDAN VAN JACKSON DO
10762 PLEASANT KNOLL DR
TAMPA, FL 33647-3667
Phone number: 713-447-0122