Provider Demographics
NPI:1700299328
Name:DUKANDAR, JASMINE (MD)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:DUKANDAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 HAWTHORNE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2301
Mailing Address - Country:US
Mailing Address - Phone:941-365-6556
Mailing Address - Fax:941-365-6678
Practice Address - Street 1:2089 HAWTHORNE ST STE 200
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2301
Practice Address - Country:US
Practice Address - Phone:941-365-6556
Practice Address - Fax:941-365-6678
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145071207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology