Individual
JACKSON JOSAPHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 JEFFERSON DR UNIT 109, DEERFIELD BEACH, FL 33442-9455
(155) 124-8277
Mailing address
520 JEFFERSON DR UNIT 109, DEERFIELD BEACH, FL 33442-9455
(155) 124-8277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1722-P.A.
PR
Other
Enumeration date
06/15/2023
Last updated
06/25/2023
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