Individual
MR. DAVID M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1133 SAXON BLVD, PROMPT CARE, ORANGE CITY, FL 32763-0000
(904) 305-3221
Mailing address
2223 ASTOR ST, PA2, ORANGE PARK, FL 32073-5668
(904) 305-3221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
01108408409
VA
363AM0700X
Medical Physician Assistant
Primary
9104510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003373900
—
FL
01
—
Y06YY
BCBS
—
Enumeration date
06/28/2006
Last updated
08/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us