Jason W Thackeray MD PA
Jason W Thackeray MD PA is a Sports Medicine (Orthopaedic Surgery) Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1034 Mar Walt Dr Ste 100Fort Walton Beach, FL 32547-6645
Phone: (850) 863-2153
Fax: (850) 315-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Orthopaedic Surgery) Physician (primary) | Taxonomy 207XX0005X · Licence ME77615 (FL) |
|---|
Record details
| NPI number | 1568504173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Thackeray — Physician · (850) 863-2153 |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | October 29, 2020 |
| Certification date | October 29, 2020 |
| Mailing address | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 |
Other providers in Fort Walton Beach
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Baptist Physician Group LLC
133 Racetrack Rd NW, Fort Walton Beach, FL 32547-1644 · (850) 916-8700
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Mark J Tenholder MD PA
1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 · (850) 863-2153
-
Theodore I Macey MD PA
1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 · (850) 863-2153
-
William R Marshall MD PA
1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL 32547-6645 · (850) 863-2153