Healthcare Provider Details

I. General information

NPI: 1881380905
Provider Name (Legal Business Name): ANA PAULA CAROCHA JALKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15536 W COLONIAL DR STE A
WINTER GARDEN FL
34787-9571
US

IV. Provider business mailing address

3109 MEDICAL WAY
SEBRING FL
33870-5548
US

V. Phone/Fax

Practice location:
  • Phone: 407-434-9901
  • Fax: 407-434-9994
Mailing address:
  • Phone: 863-386-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME183067
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: