Jackson, Amy Marie
Jackson, Amy Marie is an sole proprietor health care provider with primary practice located at 2731 Maguire Rd , Ocoee FL 34761-4797. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Amy Marie can be contacted via phone (407) 635-3080.Contact Information
Primary practice address
2731 Maguire Rd
Ocoee FL 34761-4797
Phone: (407) 635-3080
Fax: (407) 636-7804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS9293 | Florida |
Profile Details
| NPI number | 1033155106 |
|---|---|
| LBN Legal business name | Jackson, Amy Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Nov 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033155106 | NPPES |
| Florida | MEDICAID | 009067700 |
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