Chad Jackson, MS, ATC

Individual Active
NPI 1518484245
Sports Medicine (Preventive Medicine) Physician Fort Myers, FL

NPI 1518484245 belongs to Chad Jackson, MS, ATC, a sports medicine (preventive medicine) physician with a practice location in Fort Myers, FL. The NPI was issued on August 24, 2017, and the record was last updated in NPPES on August 24, 2017.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010X AL2986 (FL)

Practice location

14110 Six Mile Cypress Pkwy
Fort Myers, FL 33912-4314
Phone: (239) 479-6411

Local context

Active NPPES records list 2 providers with sports medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 17 in Florida and 167 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Chad Edwin Jackson
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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