Individual
MARK MAURICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 918025, ORLANDO, FL 32891-0001
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DOS1302
HI
207P00000X
Emergency Medicine Physician
Primary
OS10806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001554600
—
FL
Enumeration date
11/10/2006
Last updated
08/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us