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
Fax: (407) 636-7804
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033155106 NPPES
Florida MEDICAID 009067700

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