Jackson, Jordan Van
Jackson, Jordan Van is an individual health care provider with primary practice located at 4016 Sun City Center Blvd , Sun City Center FL 33573-5256. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Jackson, Jordan Van can be contacted via phone (813) 634-3301.Contact Information
Primary practice address
4016 Sun City Center Blvd
Sun City Center FL 33573-5256
Phone: (813) 634-3301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS20918 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | OS20918 | Florida |
Profile Details
| NPI number | 1225598865 |
|---|---|
| LBN Legal business name | Jackson, Jordan Van |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Aug 8th, 2025 - about last year |
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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