JASON W THACKERAY MD PA

Sports Medicine (Orthopaedic Surgery) Physician · FORT WALTON BEACH, FL

Organization Active NPI 1568504173

Taxonomy & licensure

Specialty	Code	Primary	License	State
Sports Medicine (Orthopaedic Surgery) Physician	207XX0005X	✓	ME77615	FL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.