Provider Demographics
NPI:1730896713
Name:ANCHETA, JOCELYN S (APRN)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:S
Last Name:ANCHETA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:ANCHETA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1035 PRIMERA BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2193
Mailing Address - Country:US
Mailing Address - Phone:843-475-9568
Mailing Address - Fax:
Practice Address - Street 1:1035 PRIMERA BOULEVARD
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1553
Practice Address - Country:US
Practice Address - Phone:407-333-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11018797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine