Dr. Ivor Jackson
Endocrinologist (Diabetes Doctor)
4600 Military Trail Suite 218
Jupiter
, Florida 33458-4813
Dr. Ivor Jackson
Endocrinologist (Diabetes Doctor)
4600 Military Trail Suite 218
Jupiter
, Florida 33458-4813
(561) 626-9041
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Ivor Jackson
- Po Box 8474
- Jupiter, FL
- Zip : 33468-8474
- Phone : (561) 626-9041
Second Address
- Dr. Ivor Jackson
- 4600 Military Trail Suite 218
- Jupiter, FL
- Zip : 33458-4813
- Phone : (561) 626-9041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME 86546 | FL |
National Provider Identifier
| NPI | 1023089265 |
|---|---|
| Provider Name | Dr. Ivor Jackson |
| First Address | Jupiter, FL 33468-8474 |
| Second Address | Jupiter, FL 33458-4813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9006212 | (05) | RI |
| C90592 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.