Individual provider · Type 1 NPI

Jessica Deklavon

Physician Assistant · Hollywood, FL

NPI number 1407505779 Active

Practice location

1150 N 35th Ave Ste 130
Hollywood, FL 33021-5424

Call (954) 265-7700 Map

Fax (954) 276-0021

Other practice locations

  • 1951 SW 172nd Ave Ste 405, Miramar, FL 33029-5614 · (954) 265-7700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9115460 (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 1407505779

Jessica Deklavon's National Provider Identifier is 1407505779, issued on Mar 22, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hollywood, FL. The record was last updated on Apr 27, 2026.