# LANCE S CASSELL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962636639
- **Authorized official:** LANCE S CASSELL M.D. (DIRECTOR/OWNER)
- **Authorized official phone:** (941) 961-4967

## Contact information

- **Practice address:** 6400 EDGELAKE DR, SARASOTA, FL 34240-8813
- **Practice address phone:** (941) 961-4967
- **Mailing address:** 5687 EASTWIND DR, SARASOTA, FL 34233-5075
- **Mailing address phone:** (941) 961-4967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | ME86655 | FL | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 07/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME86655 | MEDICAL LICENSE | FL |