Individual
JEFFREY LUKE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1677 EAGLE HARBOR PKWY, SUITE C, FLEMING ISLAND, FL 32003-4802
(904) 278-5112
(904) 278-5874
Mailing address
1677 EAGLE HARBOR PKWY C, FLEMING ISLAND, FL 32003-4802
(904) 278-5112
(904) 278-5874
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3675
FL
Other
Enumeration date
10/16/2008
Last updated
10/05/2015
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