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

Dr. Kyle Sebastian Jackson, DC

Individual provider Chiropractor · NPI 1669085718

Dr. Kyle Sebastian Jackson, DC is a Chiropractic in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Physical Healthcare of Jacksonville Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

12620 Beach Blvd Ste 6
Jacksonville, FL 32246-7130
Phone: (904) 645-0777
Fax: (904) 645-3483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH13208 (FL)

Record details

NPI number1669085718
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 27, 2020
Mailing address12620 Beach Blvd Ste 6, Jacksonville, FL 32246-7130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Physical Healthcare Of Jacksonville Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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