Individual
DR. JACQUELINE VILLACORTA PASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 HERON BAY RD, JACKSONVILLE, FL 32218-3595
(904) 470-6900
Mailing address
145 HERON BAY RD, JACKSONVILLE, FL 32218-3595
(904) 470-6900
(904) 792-5725
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
230808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519482
—
NY
Enumeration date
11/22/2006
Last updated
07/28/2026
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