Healthcare Provider Details

I. General information

NPI: 1114886736
Provider Name (Legal Business Name): PATHFINDERS JAX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 TWILIGHT LN
SAINT AUGUSTINE FL
32095-0085
US

IV. Provider business mailing address

668 TWILIGHT LN
SAINT AUGUSTINE FL
32095-0085
US

V. Phone/Fax

Practice location:
  • Phone: 678-640-9846
  • Fax:
Mailing address:
  • Phone: 678-640-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA SIGMON
Title or Position: OWNER
Credential: PA-C
Phone: 678-640-9846