Individual
GERRARD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N ASHLEY DR STE 1900, TAMPA, FL 33602-4311
(414) 551-3339
Mailing address
400 N ASHLEY DR STE 1900, TAMPA, FL 33602-4311
(414) 551-3339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
99289
FL
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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