Provider Demographics
NPI:1962373076
Name:JASMIN, VANESSA YVANNE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:YVANNE
Last Name:JASMIN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E SILVER STAR RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-7014
Mailing Address - Country:US
Mailing Address - Phone:407-522-2774
Mailing Address - Fax:407-522-4802
Practice Address - Street 1:1720 E SILVER STAR RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-7014
Practice Address - Country:US
Practice Address - Phone:407-522-2774
Practice Address - Fax:407-522-4802
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL69563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist