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DR. ROBERT MARK JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
(305) 575-3126
Mailing address
1500 NW 12TH AVE, JMT-EAST 1007, MIAMI, FL 33136-1028
(305) 243-4664
(305) 243-9927

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 89747
FL

Other

Enumeration date
05/05/2006
Last updated
01/07/2014
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