Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH11137 | FL |
NPI | 1144640863 |
---|---|
Provider Name | Dr. Jasmine Perez |
First Address | Orange City, FL 32763-8268 |
Second Address | Orange City, FL 32763-8268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 05/06/2020 |