Jackson, Jeffrey Luke
Jackson, Jeffrey Luke is an sole proprietor health care provider with primary practice located at 1677 Eagle Harbor Pkwy Suite C, Fleming Island FL 32003-4802. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jackson, Jeffrey Luke can be contacted via phone (904) 278-5112.Contact Information
Primary practice address
1677 Eagle Harbor Pkwy Suite C
Fleming Island FL 32003-4802
Phone: (904) 278-5112
Fax: (904) 278-5874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3675 | Florida |
Profile Details
| NPI number | 1548412992 |
|---|---|
| LBN Legal business name | Jackson, Jeffrey Luke |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2008 |
| Last updated | Oct 5th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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