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

Jackson Streeter, MD

Individual provider Family Medicine Physician · NPI 1154662658

Jackson Streeter, MD is a Family Medicine Physician in Newberry, Florida. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2013
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

13424 SW 4th Ln
Newberry, FL 32669-3050
Phone: (619) 813-6018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AZ20619 (AZ)

Record details

NPI number1154662658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 7, 2013
Last updated in NPPESMarch 7, 2013
Mailing address13424 Sw 4th Ln, Newberry, FL 32669-3050

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