DR. LEWIS JACKSON JR., M.D.

Family Medicine - Geriatric Medicine

Active Individual
NPI: 1710040480

Practice Address

1611 NW 12TH AVE
Miami, FL 33136

Phone: (305) 575-3388

Specialties

Specialty Code Primary License
Family Medicine - Geriatric Medicine 207QG0300X Yes ME94517 (FL)

Frequently Asked Questions

NPI 1710040480 is the National Provider Identifier for DR. LEWIS JACKSON JR., M.D., a Family Medicine - Geriatric Medicine provider located in Miami, FL. This NPI was enumerated on December 18, 2006.
DR. LEWIS JACKSON JR., M.D. practices at 1611 NW 12TH AVE, Miami, FL 33136.

Quick Facts

NPI
1710040480
Type
Individual
Enumerated
Dec 18, 2006
Last Updated
Jul 8, 2007

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