Provider Demographics
NPI:1437663028
Name:SENATUS, JASMINE FAY (PA-C)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:FAY
Last Name:SENATUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 TOWN CENTER ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-391-1963
Mailing Address - Fax:
Practice Address - Street 1:5333 TOWN CENTER ROAD
Practice Address - Street 2:SUITE 402
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-391-1963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-19
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant