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Individual
DR. HARVEY DONALD CASSIDY
Active
Individual
DR. HARVEY DONALD CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME62676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080042578
RAILROAD MEDICARE
FL
01
—
18066
BLUECROSS/BLUESHIELD
FL
01
—
210422533
CHAMPUS
FL
05
—
261524000
—
FL
Enumeration date
10/12/2005
Last updated
08/24/2012
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