Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jefferson Rodrigues de Souza, PA-C

Individual provider Physician Assistant · NPI 1033921184

Jefferson Rodrigues de Souza, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2025, 1 year ago. 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

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088
Phone: (904) 245-8910
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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 9120774 (FL)

Record details

NPI number1033921184
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2025
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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