Id Consults and Services, PA

NPI #1215353677 in Key West, Florida

Provider Information

NPI Number
1215353677
Entity Type
Organization
Organization Name
Id Consults and Services, PA
Subpart
Yes (part of a larger organization)
Parent Organization
ID CONSULTS AND SERVICES, PA
Primary Specialty
Internal Medicine - Infectious Disease
Enumeration Date
Mar 10, 2014
Last Updated
Mar 10, 2014

Practice Location

Address
3142 NORTHSIDE DR STE 101
State
Florida
ZIP Code
33040-8012
Phone
(305) 615-3300

Authorized Official

Name
DR. JERRY JACKSON, MD
Title
PRESIDENT
Phone
(305) 615-3300

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Internal Medicine - Infectious DiseaseInfectious Disease

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