DR. LEWIS JACKSON M.D. NPI 1710040480

NPI Information

DR. Lewis Jackson, M.D. is a geriatric medicine family medicine in Miami, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Lewis Jackson, M.D. NPI is 1710040480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136-005
Phone: (305) 575-3388

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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