Healthcare Provider Details

I. General information

NPI: 1932026341
Provider Name (Legal Business Name): JHASMINE MARTIN MLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 SALEM CT
TALLAHASSEE FL
32301-2809
US

IV. Provider business mailing address

157 SALEM CT
TALLAHASSEE FL
32301-2809
US

V. Phone/Fax

Practice location:
  • Phone: 850-583-3558
  • Fax: 850-807-5485
Mailing address:
  • Phone: 850-583-3558
  • Fax: 850-807-5485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: