Individual provider · Type 1 NPI

Jefferson Rodrigues de Souza, PA-C

Physician Assistant · Jacksonville, FL

NPI number 1033921184 Active

Practice location

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088

Mailing address

208 Gan Way
St. Johns, FL 32259-9403

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9120774 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033921184

Jefferson Rodrigues de Souza, PA-C's National Provider Identifier is 1033921184, issued on Jan 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 6, 2026.