Individual
ALEXIS R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11391 SQUARE ST UNIT 2312, JACKSONVILLE, FL 32256-4099
(404) 558-7348
Mailing address
11391 SQUARE ST UNIT 6114, JACKSONVILLE, FL 32256-4123
(404) 558-7348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA29421
FL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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