Male or Other

Jonathan V. Korah PA-C

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Jonathan V Korah PA-C

NPI Number

1245830314

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/28/2020

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9113815

Contact
Information

Purpose

Mailing
Location

Address

2 SHIRCLIFF WAY
6650 CORPORATE CENTER PKWY APT 1108

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32204-4765
32216-8725

Country

US
US

Telephone Number

(904) 308-7959
(813) 403-7426

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/28/2021

Provider Address

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