Jackson, Kimberly T

Jackson, Kimberly T is an individual health care provider with primary practice located at 2110 N Donnelly St #200, Mount Dora FL 32757-6966. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Kimberly T can be contacted via phone (352) 735-8231.

Contact Information

Primary practice address
2110 N Donnelly St #200 Mount Dora FL 32757-6966
Phone: (352) 735-8231
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9724 Florida

Profile Details

NPI number 1346263449
LBN Legal business name Jackson, Kimberly T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 1st, 2016 - about 9 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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