MEDICARE: DR. JOCELYN BESA WHITE PT, DPT, CLT, CKTP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT32520	FL

General Provider Information

NPI Number	:	1497253694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCELYN BESA WHITE PT, DPT, CLT, CKTP

Provider Business Mailing Address
First Line	:	1495 S VOLUSIA AVE STE 101
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7047
Country	:	US
Telephone Number	:	386-401-6100
Fax Number	:	386-960-0551

Provider Business Practice Location Address
First Line	:	1495 S VOLUSIA AVE STE 101
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7047
Country	:	US
Telephone Number	:	386-401-6100
Fax Number	:	386-960-0551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2018
Last Update Date	:	09/12/2025

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