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Organization
MALIBIANO, INC.
Active
Organization
MALIBIANO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY JACKSON MD (PRESIDENT)
(305) 615-3300
Entity
Organization
Contact information
Practice address
3142 NORTHSIDE DR, KEY WEST, FL 33040-8012
(305) 615-3300
Mailing address
513 OLIVIA ST, KEY WEST, FL 33040-7438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
04/08/2026
Last updated
07/21/2026
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