Individual
JEFFERSON RODRIGUES DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216-8088
(904) 245-8910
Mailing address
208 GAN WAY, SAINT JOHNS, FL 32259-9403
(505) 514-6692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9120774
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
02/06/2026
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