Individual
WESLEY ALEXANDER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1361 13TH AVE S STE 120, JACKSONVILLE BEACH, FL 32250-3260
(904) 241-2655
(904) 249-2425
Mailing address
5911 TIMUQUANA RD UNIT 300, JACKSONVILLE, FL 32210-7897
(904) 251-5053
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006736
PA
Other
Enumeration date
06/29/2016
Last updated
04/17/2024
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