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Individual

DR. MELISSA JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3250 NE 1ST AVE, SUITE 317, MIAMI, FL 33137-4191
(305) 433-2724
(305) 720-2110
Mailing address
3250 NE 1ST AVE, SUITE 317, MIAMI, FL 33137-4191
(305) 433-2724
(305) 720-2110

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125051513
IL
2084P0800X
Psychiatry Physician
Primary
ME109621
FL
2084P0804X
Child & Adolescent Psychiatry Physician
A108358
CA
2084P0804X
Child & Adolescent Psychiatry Physician
ME 109621
FL

Other

Enumeration date
08/01/2008
Last updated
01/17/2021
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