Jackson, Robert Derek

Jackson, Robert Derek is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jackson, Robert Derek can be contacted via phone (904) 542-7631.

Contact Information

Primary practice address

2080 Child St Jacksonville FL 32214-5005

Phone: (904) 542-7631

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Anesthesiology	207L00000X	D0055688	Maryland

Profile Details

NPI number	1780655399
LBN Legal business name	Jackson, Robert Derek
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 31st, 2006
Last updated	Jul 8th, 2007 - about 17 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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