Individual
GEORGE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 SE BURNING TREE CIR, STUART, FL 34997-8701
(772) 631-5813
(772) 286-9514
Mailing address
5000 SE BURNING TREE CIR, STUART, FL 34997-8701
(772) 631-5813
(772) 286-9514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
80921
NY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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