Individual provider Active NPI

Jazmine Syril White

  • Prosthetist
  • Longwood, FL
National Provider Identifier
1720913478
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CL1248030 Issued in FL
Practice address
1060 W State Road 434 Ste 144
Longwood, FL 32750-4954
Phone
(321) 758-5395
NPI assigned
Jun 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X CL1248030 FL Primary

Addresses

Primary practice location

1060 W State Road 434 Ste 144
Longwood, FL 32750-4954

Mailing address

3046 Moss Valley PL
Winter Park, FL 32792-6177
Phone (689) 295-5703

Other names 1

  • Jazmine Syril Archie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1720913478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 MOSS VALLEY PL",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926177",
            "telephone_number": "689-295-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 144",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504954",
            "telephone_number": "321-758-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAZMINE",
        "middle_name": "SYRIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "CL1248030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMINE",
            "last_name": "ARCHIE",
            "middle_name": "SYRIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.