MEDICARE: JASMINE DISMUKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1104690569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE DISMUKE

Provider Business Mailing Address
First Line	:	PO BOX 259
Second Line	:
City	:	SHALIMAR
State	:	FL
Zip	:	32579-0259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1762 SEA LARK LN
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-7406
Country	:	US
Telephone Number	:	850-362-6824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2023
Last Update Date	:	05/19/2026

Similar Medicare Providers

1619794146 — AMIYAH CARNALL
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-362-6824
Practice Fax:

1558177014 — NAIRE VILLARREAL MARTIN
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-362-6824
Practice Fax:

1154088409 — KENDALL ELIZABETH HAIRE
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-362-6824
Practice Fax:

1083933352 — MRS. CHRISTINA GRAY WEEKS M.S.
Practice Location Address:

1758 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-521-0242
Practice Fax:

1790094894 — LAUREN NICOLE RICHARDS PT, DPT
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-204-8030
Practice Fax: 850-204-8031

1316283385 — CARING HEARTS OF THE EMERALD COAST LLC
Practice Location Address:

1752 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-684-3257
Practice Fax: 866-467-4424

Directions to “ JASMINE DISMUKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.