Individual
JASMINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
405 S TANGERINE CT, EAGLE LAKE, FL 33839-3510
(863) 589-3007
Mailing address
405 S TANGERINE CT, EAGLE LAKE, FL 33839-3510
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
SI6993
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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