Jackson, Carol Anne

Jackson, Carol Anne is an sole proprietor health care provider with primary practice located at 10710 Se 160Th Court Rd , Ocklawaha FL 32179-8906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Jackson, Carol Anne can be contacted via phone (352) 750-6619.

Contact Information

Primary practice address
10710 Se 160Th Court Rd Ocklawaha FL 32179-8906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X FLOTA8013 Florida

Profile Details

NPI number 1386370351
LBN Legal business name Jackson, Carol Anne
Credentials OTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 3 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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