MEDICARE: JASMIN JOY TOLENTINO

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	225700000X	Massage Therapist	MA92357	FL

General Provider Information

NPI Number	:	1124626270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMIN JOY TOLENTINO

Provider Business Mailing Address
First Line	:	1800 W FAIRBANKS AVENUE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-5451
Country	:	US
Telephone Number	:	407-881-1595
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W FAIRBANKS AVENUE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-5451
Country	:	US
Telephone Number	:	407-881-1595
Fax Number	:

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

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	11/23/2020

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Directions to “ JASMIN JOY TOLENTINO ” Practice Location

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