Individual
JOSHUA LAWRENCE JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1320 ROBERTS DR STE 101, JACKSONVILLE BEACH, FL 32250-3253
(904) 241-7147
(904) 376-3213
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118730
FL
363AM0700X
Medical Physician Assistant
PA9118730
FL
Other
Enumeration date
04/17/2024
Last updated
11/13/2025
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