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

Dr. Lewis Jackson Jr., MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1710040480

Dr. Lewis Jackson Jr., MD is a Geriatric Medicine (Family Medicine) Physician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 575-3388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence ME94517 (FL)

Record details

NPI number1710040480
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007

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