IndividualActive
Larry Jackson
NPI 1679971667 · Research Study Specialist · St Petersburg, FL
Provider details
- NPI number
- 1679971667
- Entity type
- Individual
- Primary specialty
- Research Study SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1501 5th Ave N
St Petersburg, FL 33705-2008
Phone: (727) 896-8686
Fax: (727) 898-9596
Mailing address
1501 5th Ave N
St Petersburg, FL 33705-2008
Registry dates
- Enumerated
- 2014-12-08
- Last updated
- 2014-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.