Individual
JASMINE MAY LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2137 16TH ST N, ST PETERSBURG, FL 33704-3923
(727) 822-1896
(727) 821-0932
Mailing address
2137 16TH ST N, ST PETERSBURG, FL 33704-3923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
05/21/2024
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