| Dr Kyle Sebastian Jackson, DC | |
|
12620 Beach Blvd Ste 6, Jacksonville, FL 32246-7130 | |
| (904) 645-0777 | |
| (904) 645-3483 |
| Full Name | Dr Kyle Sebastian Jackson |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 12 Years |
| Location | 12620 Beach Blvd Ste 6, Jacksonville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669085718 | NPI | - | NPPES |
| CH13208 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH13208 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Healthcare Of Jacksonville Inc | 9234376690 | 5 |
| Provider Name | Physical Healthcare Of Jacksonville Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760722011 PECOS PAC ID: 9234376690 Enrollment ID: O20130604000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle Sebastian Jackson, DC 12620 Beach Blvd Ste 6, Jacksonville, FL 32246-7130 Ph: (904) 645-0777 | Dr Kyle Sebastian Jackson, DC 12620 Beach Blvd Ste 6, Jacksonville, FL 32246-7130 Ph: (904) 645-0777 |
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