Provider Demographics
NPI:1497253694
Name:WHITE, JOCELYN BESA (PT, DPT, CLT, CKTP)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:BESA
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT, DPT, CLT, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 S VOLUSIA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-7047
Mailing Address - Country:US
Mailing Address - Phone:386-401-6100
Mailing Address - Fax:386-960-0551
Practice Address - Street 1:1495 S VOLUSIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7047
Practice Address - Country:US
Practice Address - Phone:386-401-6100
Practice Address - Fax:386-960-0551
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT32520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist