Healthcare Provider Details

I. General information

NPI: 1447154703
Provider Name (Legal Business Name): JASMINE ZOOBI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17410 SR 50 STE 130
CLERMONT FL
34711-8188
US

IV. Provider business mailing address

1832 ABBOTS HILL DR
ORLANDO FL
32835-8146
US

V. Phone/Fax

Practice location:
  • Phone: 689-500-7176
  • Fax:
Mailing address:
  • Phone: 407-591-7820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: