Individual
ANTHONY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC
Contact information
Practice address
2000 NW 1ST ST, BOYNTON BEACH, FL 33435-2286
(954) 663-8045
Mailing address
2000 NW 1ST ST, BOYNTON BEACH, FL 33435-2286
(954) 663-8045
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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