Individual
JACQUELYN HODES ORCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
180 N WATERSOUND PKWY, INLET BEACH, FL 32461-7274
(850) 278-3551
(850) 278-3596
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113020
—
LA
Enumeration date
06/15/2010
Last updated
10/20/2021
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