Healthcare Provider Details

I. General information

NPI: 1902715998
Provider Name (Legal Business Name): JAZMIN EUSEBE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

5321 POST OAK BLVD APT 107
WESLEY CHAPEL FL
33544-5638
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone: 954-328-3964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8081439
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: