Individual
JASMINE NALLELY VIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
200452
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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