Hollywood, Jasmine Blake

Hollywood, Jasmine Blake is an sole proprietor health care provider with primary practice located at 2021 N Lemans Blvd Unit 1121 , Tampa FL 33607-1135. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Hollywood, Jasmine Blake can be contacted via phone (813) 500-0085.

Contact Information

Primary practice address
2021 N Lemans Blvd Unit 1121 Tampa FL 33607-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X ND11493 Florida

Profile Details

NPI number 1588382949
LBN Legal business name Hollywood, Jasmine Blake
Credentials MS, LDN, CNS, ORDM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2022
Last updated Aug 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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