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Allen
Allen
Jackson
Medical doctor
Director
Daytona Beach, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
ALLEN JACKSON
Job Title
Medical Doctor
Location
Daytona Beach, FL, USA
Title
MD
LIC ID
76293
Current License Expiration Date
31/01/2025
Original Date
05/07/2000
Professional Rank Code
ME
Effective Date
08/01/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
1201 SOUTH RIDGEWOOD AVE
Practice Location Address City
DAYTONA BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
32114
Prescribing Indicator
Y
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