Provider Information for 1225713597
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JASMINE QUANDER-SMITH
Sex: Female
NPI: 1225713597
Last Updated: 2023-06-15
Certification Date: 2023-06-15
Certification Date: 2023-06-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1225713597 | ||||||||
| Enumeration Date | 2023-06-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2720 WASHINGTON DR FT LAUDERDALE, FL 33311-6628 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 2853 EXECUTIVE PARK DR STE 101 WESTON, FL 33331-3656 United States Phone: 202-696-9291 | Fax: | ||||||||
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