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Dr. Susana Cassaglia, NP,MD
General Practice Physician in Jacksonville, Florida
NPI 1467997437

Susana Cassaglia is a General Practice Physician based in Jacksonville, FL. Susana Cassaglia practices in Jacksonville, FL and has the professional credentials of NP,MD. The NPI Number for Susana Cassaglia is 1467997437 and holds a License No. (Florida).

The current practice location address for Susana Cassaglia is 1833 Boulevard, Jacksonville, FL and can be reached out via phone at 904-383-1040.

Location: 1833 Boulevard, Jacksonville, FL, 32231-4008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467997437
Provider Name
Susana Cassaglia
Credential
NP,MD
Provider Entity Type
Individual
Gender
Female
Address
1833 Boulevard, Jacksonville, FL, 32231-4008
Phone Number
904-383-1040
Fax Number
Provider Enumeration Date
12/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1833 Boulevard
City
Jacksonville
State
Florida
Zip
32206-4382
Phone Number
904-383-1040
Fax Number
person
Provider Business Mailing Address Details
Address
1833 Boulevard
City
Jacksonville
State
Florida
Zip
32206-4382
Phone Number
904-383-1040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
22543 ()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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