Cassidy Blacha, PA-C

NPI #1265210983 in Lithia, Florida

Provider Information

NPI Number
1265210983
Entity Type
Individual
Name
Cassidy Blacha, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 15, 2023
Last Updated
Sep 29, 2023

Practice Location

Address
13837 CIRCA CROSSING DR
City
Lithia
State
Florida
ZIP Code
33547-4382
Phone
(813) 684-2663

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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