Provider Demographics
NPI:1851999429
Name:TORRES, JASMINE (INTERN SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:INTERN SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39851 JERRY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-7101
Mailing Address - Country:US
Mailing Address - Phone:813-312-6872
Mailing Address - Fax:
Practice Address - Street 1:2807 W BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4562
Practice Address - Country:US
Practice Address - Phone:813-702-1762
Practice Address - Fax:813-364-7021
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL85-3215270OtherPRIVATE INSURANCE