DAVID M JACKSON

ORANGE CITY, FL
NPI1952338485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  9104510)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: VA  01108408409)
Enumeration Date2006-06-28
Last Update Date2012-08-01
Business Address
Mr. DAVID M JACKSON PA-C
1133 SAXON BLVD PROMPT CARE
ORANGE CITY, FL 32763-0000
Phone number: 904-305-3221
Mailing Address
Mr. DAVID M JACKSON PA-C
2223 ASTOR ST PA2
ORANGE PARK, FL 32073-5668
Phone number: 904-305-3221