LARRY JACKSON

Specialist - Research Study

Active Individual
NPI: 1679971667

Practice Address

1501 5TH AVE N
St Petersburg, FL 33705

Phone: (727) 896-8686

Specialties

Specialty Code Primary License
Specialist - Research Study 1744R1102X Yes -
Technician, Other 247200000X No -

Frequently Asked Questions

NPI 1679971667 is the National Provider Identifier for LARRY JACKSON, a Specialist - Research Study provider located in St Petersburg, FL. This NPI was enumerated on December 8, 2014.
LARRY JACKSON practices at 1501 5TH AVE N, St Petersburg, FL 33705.

Quick Facts

NPI
1679971667
Type
Individual
Enumerated
Dec 8, 2014
Last Updated
Dec 8, 2014

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