Chad Edwin Jackson, MS, ATC

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1518484245

Chad Edwin Jackson, MS, ATC is a Sports Medicine (Preventive Medicine) Physician in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in: FL
In the registry since: 2017

What do these letters mean?

MS — Master of Science: A graduate science degree.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.

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Practice location Address checks out

14110 Six Mile Cypress Pkwy
Fort Myers, FL 33912-4314
Phone: (239) 479-6411
Fax: (239) 768-2032

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary)	Taxonomy 2083S0010X · Licence AL2986 (FL)

Record details

NPI number	1518484245
Entity type	Individual (Type 1)
Gender	Male
Credentials	MS , ATC
Sole proprietor	Yes
NPI enumerated	August 24, 2017
Last updated in NPPES	August 24, 2017