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KIMBERLY T JACKSON DO
NPI 1346263449
Family Medicine in Mount Dora, FL

Active since July 26, 2006
2110 N DONNELLY ST, #200, MOUNT DORA, FL 32757(352) 735-8231 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly T Jackson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY T JACKSON DO (NPI 1346263449) is an individual family medicine provider in Mount Dora, Florida, licensed in Florida (OS9724) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1346263449
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY T JACKSONCredential: DO
Location Address2110 N DONNELLY ST, #200Mount Dora, FL 32757-6966
Mailing Address2110 N Donnelly St, #200Mount Dora, FL 32757-6966 · (352) 735-8231
Phone(352) 735-8231
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1346263449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS9724
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2110 N DONNELLY ST, Mount Dora, FL 32757
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Other Identifiers 2

Medicare UPINI52040
Medicare PIN42053YFL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY HALE
Massage Therapist
2110 N DONNELLY ST
MOUNT DORA, FL 32757
Orange County (352) 659-4861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1346263449. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 2110 N Donnelly St #200, Mount Dora, FL 32757. The listed phone number is (352) 735-8231.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.