Provider Demographics
NPI:1952866386
Name:JONES, SHAROCCO
Entity Type:Individual
Prefix:
First Name:SHAROCCO
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 NE 36TH AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4974
Mailing Address - Country:US
Mailing Address - Phone:352-476-4924
Mailing Address - Fax:
Practice Address - Street 1:1715 NE 36TH AVE APT 9
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4974
Practice Address - Country:US
Practice Address - Phone:352-476-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care