Siska, Jasmine

Siska, Jasmine is an individual health care provider with primary practice located at 1721 Brandon Main St Ste A , Brandon FL 33511-5018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Siska, Jasmine can be contacted via phone (813) 315-1530.

Contact Information

Primary practice address
1721 Brandon Main St Ste A Brandon FL 33511-5018
Phone: (813) 315-1530
Fax: (813) 355-5909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0110004618 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9110151 Florida

Profile Details

NPI number 1447665377
LBN Legal business name Siska, Jasmine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Jan 26th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447665377 NPPES
Florida MEDICAID 022259200

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