Jackson, Howard B

Jackson, Howard B is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0925. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Jackson, Howard B can be contacted via phone (813) 978-9700.

Contact Information

Primary practice address
13020 N Telecom Pkwy Temple Terrace FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME79194 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME79194 Florida

Profile Details

NPI number 1255338042
LBN Legal business name Jackson, Howard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 12th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255338042 NPPES
Florida Other 270565 AVMED
Florida Other 5320656 AVMED
Florida Other 8294118 AVMED
Florida Other 49333 AVMED
Florida Other 250011193 AVMED
Florida MEDICAID 258188400 AVMED

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