Provider Demographics
NPI:1225391576
Name:SZOCKI, JOLIE SAMARA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOLIE
Middle Name:SAMARA
Last Name:SZOCKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOLIE
Other - Middle Name:SAMARA
Other - Last Name:RAMESAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-3019
Mailing Address - Country:US
Mailing Address - Phone:863-680-7000
Mailing Address - Fax:866-264-8519
Practice Address - Street 1:1430 LAKELAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-3202
Practice Address - Country:US
Practice Address - Phone:863-680-7337
Practice Address - Fax:866-264-8519
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126071208000000X, 208000000X
CAA1527732080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology