Kimberly T Jackson, DO

NPI #1346263449 in Mount Dora, Florida

Provider Information

NPI Number: 1346263449
Entity Type: Individual
Name: Kimberly T Jackson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 26, 2006
Last Updated: Feb 1, 2016

Practice Location

Address: 2110 N DONNELLY ST
Address 2: #200
City: Mount Dora
State: Florida
ZIP Code: 32757-6966
Phone: (352) 735-8231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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