Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Carol Anne Jackson, OTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1386370351

Mrs. Carol Anne Jackson, OTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Ocklawaha, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

10710 SE 160th Court Rd
Ocklawaha, FL 32179-8906
Phone: (352) 750-6619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence FLOTA8013 (FL)

Record details

NPI number1386370351
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateJuly 21, 2022