Provider Demographics
NPI:1922797505
Name:BURGER, JASMIN (CERTIFIED PHLEBOTOMY)
Entity Type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:BURGER
Suffix:
Gender:F
Credentials:CERTIFIED PHLEBOTOMY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N 24TH AVE APT 3206
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1450
Mailing Address - Country:US
Mailing Address - Phone:754-422-3104
Mailing Address - Fax:
Practice Address - Street 1:2900 N 24TH AVE APT 3206
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-1450
Practice Address - Country:US
Practice Address - Phone:754-422-3104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory