NPI 1588382949

Jasmine Blake Hollywood, MSLDNCNSORDM

Practitioner Nutritionist Tampa, FL

Practice location

Address: 2021 N Lemans Blvd Unit 1121, Tampa, FL 33607-1135
Phone: (813) 500-0085

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence ND11493 (FL)

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Registry record

NPI: 1588382949
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2022
Record last updated: 28 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.