LARRY JACKSON
NPI 1679971667
Specialist - Research Study in St Petersburg, FL

Active since December 08, 2014
1501 5TH AVE N, ST PETERSBURG, FL 33705(727) 896-8686(727) 898-9596 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larry Jackson NPPES

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

LARRY JACKSON (NPI 1679971667) is an individual research study provider in St Petersburg, Florida and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1679971667
Entity TypeIndividualMale
Primary Taxonomy1744R1102X
Provider Legal NameLARRY JACKSON
Location Address1501 5TH AVE NSt Petersburg, FL 33705-2008
Mailing Address1501 5th Ave NSt Petersburg, FL 33705-2008 · (727) 896-8686 · Fax (727) 898-9596
Fax(727) 898-9596
Sole ProprietorYes
Enumeration DateDecember 8, 2014
NPI 1679971667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist · Research StudyOther Service Providers
Taxonomy Code1744R1102X
Also ListedTechnician, OtherTaxonomy 247200000X
1501 5TH AVE N, St Petersburg, FL 33705

Other Providers at the Same Location NPPES 7

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

Durable Medical Equipment & Medical Supplies
1501 5TH AVE N
ST PETERSBURG, FL 33705
Physical Medicine & Rehabilitation
1501 5TH AVE N
ST PETERSBURG, FL 33705
Technician, Other
1501 5TH AVE N
ST PETERSBURG, FL 33705
Physical Medicine & Rehabilitation (Pain Medicine)
1501 5TH AVE N
ST PETERSBURG, FL 33705
Technician, Other
1501 5TH AVE N
ST PETERSBURG, FL 33705
Technician, Other
1501 5TH AVE N
ST PETERSBURG, FL 33705
Technician, Other
1501 5TH AVE N
ST PETERSBURG, FL 33705

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 Larry Jackson's NPI number?

The NPI number for Larry Jackson is 1679971667. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Where is Larry Jackson located?

Larry Jackson practices at 1501 5th Ave N, St Petersburg, FL 33705. The listed phone number is (727) 896-8686.

What is Larry Jackson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Research Study, with taxonomy code 1744R1102X.

When was this NPI record last updated?

The NPPES record for Larry Jackson was last updated on December 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.