Individual provider · Type 1 NPI
Mark F. Jackson, MD
Addiction Medicine (Anesthesiology) Physician · St. Augustine, FL
NPI number
1255470209
Active
Practice location
3930 US 1 S
St. Augustine, FL 32086-7089
Fax (904) 217-3081
Mailing address
4881 NW 8th Ave, Suite 2
Gainesville, FL 32605-4582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 40009 (KY) |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME142795 (FL) |
| Addiction Medicine (Anesthesiology) Physician Primary | 207LA0401X | ME142795 (FL) |
Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Another provider at this address
About NPI 1255470209
Mark F. Jackson, MD's National Provider Identifier is 1255470209, issued on Feb 6, 2007. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 29, 2026.