Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackies Retirement LLC

Organization Exclusive Provider Organization · NPI 1073882783

Jackies Retirement LLC is an Exclusive Provider Organization in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1675 Canon Ave NW
Palm Bay, FL 32907-8528
Phone: (321) 420-3916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence AL12053 (FL)

Record details

NPI number1073882783
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Wright — Administrator/Owner · (321) 420-3916
Other names Jackies Retirement Alf
NPI enumeratedDecember 26, 2011
Last updated in NPPESDecember 26, 2011
Mailing address1675 Canon Ave Nw, Palm Bay, FL 32907-8528