LEWIS JACKSON

MIAMI, FL
NPI1710040480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
(Licence: FL  ME94517)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Dr. LEWIS JACKSON M.D.
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-575-3388
Mailing Address
Dr. LEWIS JACKSON M.D.
7125 BAY DR APT202
MIAMI BEACH, FL 33141-5476
Phone number: 305-867-2676
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