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Individual

JAZMIN BRANTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 HEALD WAY, THE VILLAGES, FL 32163-6072
(352) 461-5017
Mailing address
26734 AUGUSTA SPRINGS CIR, LEESBURG, FL 34748-1228
(414) 339-9476

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69588
FL
225200000X
Physical Therapy Assistant
Primary
1861-19
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063760783
WI
Enumeration date
08/28/2012
Last updated
01/12/2026
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