Individual
JAZMINE SYRIL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 W STATE ROAD 434 STE 144, LONGWOOD, FL 32750-4954
(321) 758-5395
Mailing address
3046 MOSS VALLEY PL, WINTER PARK, FL 32792-6177
(689) 295-5703
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL1248030
FL
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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