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NPI 1679971667

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

More FL providers

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.

Larry Jackson — NPI 1679971667, St Petersburg, FL | NPI Central