Jackson, Darian

Jackson, Darian is an sole proprietor health care provider with primary practice located at 6610 E Fowler Ave , Temple Terrace FL 33617-2443. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jackson, Darian can be contacted via phone (813) 377-5836.

Contact Information

Primary practice address
6610 E Fowler Ave Temple Terrace FL 33617-2443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CL1228030 Florida

Profile Details

NPI number 1245711472
LBN Legal business name Jackson, Darian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2018
Last updated Aug 25th, 2018 - 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.

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