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

Roosevelt T Jackson Jr., MD

Individual provider Family Medicine Physician · NPI 1295951374

Roosevelt T Jackson Jr., MD is a Family Medicine Physician in Riviera Beach, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2007
Specialties on file
4
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

31 W 20th St Ste 100
Riviera Beach, FL 33404-6155
Phone: (561) 510-0471
Fax: (561) 331-2715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 N State Road 7, Plantation, FL 33317 — (954) 587-7075

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME45529 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence ME45529 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME45529 (FL)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence ME45529 (FL)

Record details

NPI number1295951374
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2007
Last updated in NPPESDecember 17, 2018

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