Jacob, Jasmine Rose

Jacob, Jasmine Rose is an individual health care provider with primary practice located at 620 10Th St N , St Petersburg FL 33705-1407. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Jacob, Jasmine Rose can be contacted via phone (727) 824-8243.

Contact Information

Primary practice address
620 10Th St N St Petersburg FL 33705-1407
Phone: (727) 824-8243
Fax: (727) 824-8233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME126616 Florida

Profile Details

NPI number 1235499419
LBN Legal business name Jacob, Jasmine Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Mar 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235499419 NPPES
Florida MEDICAID 018755400

Popular Providers