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DR. LEWIS JACKSON JR. M.D.
NPI 1710040480
Family Medicine - Geriatric Medicine in Miami, FL

Active since December 18, 2006
1611 NW 12TH AVE, MIAMI, FL 33136(305) 575-3388 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lewis Jackson Jr. M.d. NPPES

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

DR. LEWIS JACKSON JR. M.D. (NPI 1710040480) is an individual geriatric medicine provider in Miami, Florida, licensed in Florida (ME94517) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710040480
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. LEWIS JACKSON JR.Credential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address7125 Bay Dr, Apt202Miami Beach, FL 33141-5476 · (305) 867-2676
Phone(305) 575-3388
Sole ProprietorYes
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710040480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · ME94517
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1611 NW 12TH AVE, Miami, FL 33136
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Other Providers at the Same Location NPPES 20

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

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Lewis Jackson's NPI number?

The NPI number for Lewis Jackson is 1710040480. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Lewis Jackson located?

Lewis Jackson practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 575-3388.

What is Lewis Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Lewis Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.