Individual
DR. CORINNE SOKOLIK JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-6340
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(410) 757-6933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME116991
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101242302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136836A
—
GA
05
—
009390600
—
FL
01
—
14RF3
BCBS
FL
Enumeration date
08/05/2007
Last updated
11/26/2013
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