Jack L Cassell M.d. P.a.
NPI #1366630808 in Mount Dora, Florida
Provider Information
- NPI Number
- 1366630808
- Entity Type
- Organization
- Organization Name
- Jack L Cassell M.d. P.a.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JACK L CASSELL M.D. P.A.
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Dec 8, 2010
Practice Location
- Address
- 717 N DONNELLY ST
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-4833
- Phone
- (352) 383-3773
Authorized Official
- Name
- JACK L CASSELL, M.D.
- Title
- OWNER/PHYSICAN
- Phone
- (352) 383-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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