Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Koburger, PA-C

Individual provider Physician Assistant · NPI 1538057153

Jack Koburger, PA-C is a Physician Assistant in Cape Coral, Florida. Qualified in 2025, 1 year ago. Practices with Cape Coral Emergency Physicians LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone: (239) 424-3513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120347 (FL)

Record details

NPI number1538057153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address6796 Smokerise Dr, Macclenny, FL 32063-5256

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cape Coral Emergency Physicians Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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