IndividualActive
Edward Jackson, MD
NPI 1710129408 · Sports Medicine (Orthopaedic Surgery) Physician · Tallahassee, FL
Provider details
- NPI number
- 1710129408
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- BP10016960 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3334 Capital Medical Blvd #400
Tallahassee, FL 32308-4470
Phone: (850) 877-8174
Fax: (850) 877-5636
Approximate (ZIP-level) locationGet directions
Mailing address
3334 Capital Medical Blvd #400
Tallahassee, FL 32308-4470
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.