Mark A Jackson

NPI #1013622687 in Gainesville, Florida

Provider Information

NPI Number: 1013622687
Entity Type: Individual
Name: Mark A Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jan 18, 2023
Last Updated: Jan 18, 2023

Practice Location

Address: 4340 NEWBERRY RD STE 104
City: Gainesville
State: Florida
ZIP Code: 32607-2557
Phone: (352) 377-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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