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Jack L Cassell M.d. P.a.
Specialist in Mount Dora, Florida
NPI 1366630808

Jack L Cassell M.d. P.a. is a Specialist based in Mount Dora, FL. Jack L Cassell M.d. P.a. practices in Mount Dora, FL. The NPI Number for Jack L Cassell M.d. P.a. is 1366630808 and holds a License No. ME46095 (Florida).

The current practice location address for Jack L Cassell M.d. P.a. is 717 N Donnelly St, Mount Dora, FL and can be reached out via phone at 352-383-3773 and via fax at 352-383-4434.

Location: 717 N Donnelly St, Mount Dora, FL, 32757-4833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366630808
Provider Name
Jack L Cassell M.d. P.a.
Credential
Provider Entity Type
Organization
Address
717 N Donnelly St, Mount Dora, FL, 32757-4833
Phone Number
352-383-3773
Fax Number
352-383-4434
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
254899200 05 FL
institution
Provider Business Practice Location Address Details
Address
717 N Donnelly St
City
Mount Dora
State
Florida
Zip
32757-4833
Phone Number
352-383-3773
Fax Number
352-383-4434
person
Provider Business Mailing Address Details
Address
717 N Donnelly St
City
Mount Dora
State
Florida
Zip
32757-4833
Phone Number
352-383-3773
Fax Number
352-383-4434
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME46095 (Florida)
Definition
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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