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

TaxonomyCodeLicense
Specialist Primary 174400000XME46095 (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.