Individual
ALLISON JACKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6738 W SUNRISE BLVD, SUITE 107, PLANTATION, FL 33313-6070
(954) 587-1210
Mailing address
6738 W SUNRISE BLVD, SUITE 107, PLANTATION, FL 33313-6070
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SZ7849
FL
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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