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

Jackson Josaphat

Individual provider Physician Assistant · NPI 1093490245

Jackson Josaphat is a Physician Assistant in Deerfield Beach, Florida. Licensed in Puerto Rico. Registered with an NPI since 2023.

Licensed in
PR
In the registry since
2023

Practice location Address checks out

520 Jefferson Dr Unit 109
Deerfield Beach, FL 33442-9455
Phone: (155) 124-8277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1722-P.A. (PR)

Record details

NPI number1093490245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 25, 2023
Certification dateJune 25, 2023
Mailing address520 Jefferson Dr Unit 109, Deerfield Beach, FL 33442-9455

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