Jackson Josaphat

Physician Assistant · Deerfield Beach, FL

Individual Active NPI

NPI number 1093490245

Practice location

520 Jefferson Dr Unit 109
Deerfield Beach, FL 33442-9455
Phone
(155) 124-8277

Open in Google Maps

NPI record

NPI
1093490245
Entity type
Individual (Type 1)
Enumeration date
June 15, 2023
Last updated
June 25, 2023
Certified
June 25, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1722-P.A. PR

About Jackson Josaphat

Jackson Josaphat is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 520 Jefferson Dr Unit 109, Deerfield Beach, FL 33442-9455. The NPI number 1093490245 was assigned on June 15, 2023 and the record was last updated on June 25, 2023.

Jackson Josaphat lists a license in the registry: #1722-P.A. (PR) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackson Josaphat?

The NPI number is 1093490245.

What is the phone number of Jackson Josaphat?

The phone number listed for the practice location is (155) 124-8277.

Where is Jackson Josaphat located?

520 Jefferson Dr Unit 109, Deerfield Beach, FL 33442-9455.

What is the taxonomy code for Jackson Josaphat?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Deerfield Beach

All Physician Assistant providers in Deerfield Beach, FL →