Individual
JORGE A JACKSON FREIXAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8101 CORAL WAY, MIAMI, FL 33155-1226
(305) 261-7069
Mailing address
12440 SW 126TH AVE, MIAMI, FL 33186-9018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33530
FL
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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