Organization · Type 2 NPI
Jack L Cassell M.d. P.a.
Specialist · Mount Dora, FL
NPI number
1366630808
Active
Practice location
717 N Donnelly St
Mount Dora, FL 32757-4833
Fax (352) 383-4434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME46095 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366630808
Jack L Cassell M.d. P.a.'s National Provider Identifier is 1366630808, issued on Oct 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mount Dora, FL. The record was last updated on Dec 8, 2010.