Individual provider · Type 1 NPI

Cassandra Lee Wallace, PA-C

Medical Physician Assistant · Sarasota, FL

NPI number 1356918494 Active

Practice location

7250 Beneva Rd
Sarasota, FL 34238-2806

Call (941) 921-0986 Map

Fax (941) 921-0989

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9114232 (FL)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1356918494

Cassandra Lee Wallace, PA-C's National Provider Identifier is 1356918494, issued on Jun 8, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sarasota, FL. The record was last updated on Apr 5, 2022.