Individual
BURKE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1808 E SILVER SPRINGS BLVD, OCALA, FL 34470-6921
(352) 291-5000
(352) 291-5004
Mailing address
1808 E SILVER SPRINGS BLVD, OCALA, FL 34470-6921
(352) 291-5000
(352) 291-5004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME38870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041557001
—
FL
01
—
94201
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/07/2006
Last updated
02/15/2016
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