Individual
JASMINE ATILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ELIZABETH RD, DELAND, FL 32724-7582
(305) 989-4805
Mailing address
209 ELIZABETH RD, DELAND, FL 32724-7582
(305) 989-4805
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11014922
FL
363LG0600X
Gerontology Nurse Practitioner
11014922
FL
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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