Jackson, Gerald Derand

Jackson, Gerald Derand is an individual health care provider with primary practice located at 2104 Massey Ave , Jacksonville FL 32228. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Jackson, Gerald Derand can be contacted via phone (904) 270-4241.

Contact Information

Primary practice address
2104 Massey Ave Jacksonville FL 32228
Phone: (904) 270-4241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1962661363
LBN Legal business name Jackson, Gerald Derand
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Aug 3rd, 2009 - about 15 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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