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Contact Information

VICTORIA JACKSON
409 BAYSHORE BLVD
TAMPA, FL33606-2707
 Phone: 813-844-5544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for VICTORIA JACKSON · (Female)

NPI Number 1225569536
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2017
Last updated 04/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME169219
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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