Organization
JACKSON TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK FERDINAND JACKSON (PRESIDENT)
(941) 255-0642
Entity
Organization
Contact information
Practice address
20255 MACON LN, PORT CHARLOTTE, FL 33952-3825
(941) 255-0642
Mailing address
20255 MACON LN, PORT CHARLOTTE, FL 33952-3825
(941) 255-0642
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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