MEDICARE: MRS. JASMINE ANN OBERMAN PA-C

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	363AM0700X	Medical Physician Assistant	PA9106925	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225373848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JASMINE ANN OBERMAN PA-C

Provider Business Mailing Address
First Line	:	729 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6345
Country	:	US
Telephone Number	:	954-943-5044
Fax Number	:	954-786-8502

Provider Business Practice Location Address
First Line	:	729 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6345
Country	:	US
Telephone Number	:	954-943-5044
Fax Number	:	954-786-8502

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

Provider Enumeration Date	:	12/07/2012
Last Update Date	:	12/07/2012

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