Provider Demographics
NPI:1225373848
Name:OBERMAN, JASMINE ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:ANN
Last Name:OBERMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JASMINE
Other - Middle Name:ANN
Other - Last Name:PRCHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:729 E ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6345
Mailing Address - Country:US
Mailing Address - Phone:954-943-5044
Mailing Address - Fax:954-786-8502
Practice Address - Street 1:729 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6345
Practice Address - Country:US
Practice Address - Phone:954-943-5044
Practice Address - Fax:954-786-8502
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106925363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical