Roosevelt T Jackson JR.
Family Doctor Ophthalmologist Emergency Physician Family Doctor - Addiction Medicine
31 W 20th St Ste 100
Riviera Beach
, Florida 33404-6155
Roosevelt T Jackson JR.
Family Doctor Ophthalmologist Emergency Physician Family Doctor - Addiction Medicine
31 W 20th St Ste 100
Riviera Beach
, Florida 33404-6155
(866) 510-7555
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Family Doctor - Addiction Medicine
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Roosevelt T Jackson JR.
- 133 N State Road 7
- Plantation, FL
- Zip : 33317-3100
- Fax : (866) 510-7555
- Phone : (754) 244-5132
Second Address
- Roosevelt T Jackson JR.
- 31 W 20th St Ste 100
- Riviera Beach, FL
- Zip : 33404-6155
- Fax : (561) 331-2715
- Phone : (561) 510-0471
Reviews
FAQs
Where did Roosevelt T Jackson JR. attend graduate school?
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Where did Roosevelt T Jackson JR. do his fellowship?
Is Roosevelt T Jackson JR. board certified?
What type of doctor is Roosevelt T Jackson JR.
In what state does Roosevelt T Jackson JR. practice in?
Where is Roosevelt T Jackson JR.’s practice located?
What is Roosevelt T Jackson JR.’s gender?
Is Roosevelt T Jackson JR. a sole practitioner?
Is Roosevelt T Jackson JR. accepting new patients?
What languages does Roosevelt T Jackson JR. speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | ME45529 | FL |
| Y | 207Q00000X | Family Doctor | ME45529 | FL |
| N | 207QA0401X | Family Doctor - Addiction Medicine | ME45529 | FL |
| N | 207W00000X | Ophthalmologist | ME45529 | FL |
National Provider Identifier
| NPI | 1295951374 |
|---|---|
| Provider Name | Roosevelt T Jackson JR. |
| First Address | Plantation, FL 33317-3100 |
| Second Address | Riviera Beach, FL 33404-6155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 17/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043150800 | (05) | FL |
| C08787 | (02) | FL |
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.