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NPI Code Detail

MEDICARE: JOCELYN SEVILLA

MEDICARE:   JOCELYN  SEVILLA
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
11041C0700XClinical Social WorkerISW20966FL

General Provider Information

NPI Number : 1629901871
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN SEVILLA
Provider Business Mailing Address
First Line : 3372 SANTA ROSA DR
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-3371
Country : US
Telephone Number : 850-760-2300
Fax Number :
Provider Business Practice Location Address
First Line : 3372 SANTA ROSA DR
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-3371
Country : US
Telephone Number : 850-760-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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Directions to “ JOCELYN SEVILLA ” Practice Location

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