Provider Demographics
NPI:1831292093
Name:ADRIANO, JASMINE VELARDE
Entity Type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:VELARDE
Last Name:ADRIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 UNIVERSITY BLVD S
Mailing Address - Street 2:#4
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4355
Mailing Address - Country:US
Mailing Address - Phone:904-733-8133
Mailing Address - Fax:904-730-8170
Practice Address - Street 1:3716 UNIVERSITY BLVD S
Practice Address - Street 2:#4
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4355
Practice Address - Country:US
Practice Address - Phone:904-733-8133
Practice Address - Fax:904-730-8170
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist