J&E Jackson Enterprises, Pllc

LBN: J&E Jackson Enterprises, Pllc
J&E Jackson Enterprises, Pllc is an health care organization with primary practice located at 1677 Eagle Harbor Pkwy # C , Fleming Island FL 32003-4802. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. J&E Jackson Enterprises, Pllc can be contacted via phone (904) 278-5112, or through Jackson, Emily via phone (321) 704-1807.

Contact Information

Primary practice address
1677 Eagle Harbor Pkwy # C Fleming Island FL 32003-4802
Phone: (904) 278-5112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Emily Doctor of Podiatric Medicine (DPM)
Phone: (321) 704-1807

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X PO3484 Florida

Profile Details

NPI number 1346625522
LBN Legal business name J&E Jackson Enterprises, Pllc
DBA Doing business as
Authorized official Jackson, Emily Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2015
Last updated Feb 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346625522 NPPES
Florida Other FD5660 MEDICARE PTAN

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