Provider Demographics
NPI:1427853803
Name:PENG, JOCELYN BISHOP (DC)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:BISHOP
Last Name:PENG
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 MCDONALD RD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3717
Mailing Address - Country:US
Mailing Address - Phone:304-941-5000
Mailing Address - Fax:
Practice Address - Street 1:2240 5TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-1239
Practice Address - Country:US
Practice Address - Phone:304-309-3080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor