Individual
MS. ELIZABETH MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
515 WEKIVA COMMONS CIRCLE, APOPKA, FL 32712
(407) 464-9516
(407) 464-9519
Mailing address
515 WEKIVA COMMONS CIRCLE, APOPKA, FL 32712
(407) 464-9516
(407) 464-9519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103001
FL
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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