Jackson Josaphat

NPI #1093490245 in Deerfield Beach, Florida

Provider Information

NPI Number: 1093490245
Entity Type: Individual
Name: Jackson Josaphat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 15, 2023
Last Updated: Jun 25, 2023

Practice Location

Address: 520 JEFFERSON DR UNIT 109
City: Deerfield Beach
State: Florida
ZIP Code: 33442-9455
Phone: (155) 124-8277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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