Individual
VICTORIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-5544
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-5544
Taxonomy
Speciality
Code
Description
License number
State
207RT0003X
Transplant Hepatology Physician
Primary
ME169219
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/27/2017
Last updated
04/22/2025
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