Healthcare Provider Details

I. General information

NPI: 1063689149
Provider Name (Legal Business Name): JASMINE PIERRE LAFONTANT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 NE 10TH AVE STE 102
BOYNTON BEACH FL
33435-3368
US

IV. Provider business mailing address

5645 CORAL RIDGE DR STE 274
CORAL SPRINGS FL
33076-3124
US

V. Phone/Fax

Practice location:
  • Phone: 954-948-2468
  • Fax:
Mailing address:
  • Phone: 646-236-7641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME108153
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: