Individual provider · Type 1 NPI

Cassidy Gwenyth Proctor

Physician Assistant · Orlando, FL

NPI number 1558061101 Active

Practice location

801 N Orange Ave Ste 600B
Orlando, FL 32801-5202

Call (407) 841-2100 Map

Mailing address

801 N Orange Ave Ste 600
Orlando, FL 32801-5202

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9120366 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558061101

Cassidy Gwenyth Proctor's National Provider Identifier is 1558061101, issued on Mar 2, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orlando, FL. The record was last updated on May 28, 2026.