Organization
NEUROSURGICAL ASSOCIATES CASSIDY & GUERIN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R CASSIDY M.D. (SURGEON)
(941) 484-3404
Entity
Organization
Contact information
Practice address
842 SUNSET LAKE BLVD, SUITE 302, VENICE, FL 34292-7552
(941) 484-3404
(941) 496-7895
Mailing address
842 SUNSET LAKE BLVD, SUITE 302, VENICE, FL 34292-7552
(941) 484-3404
(941) 496-7895
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0057567
VA
207T00000X
Neurological Surgery Physician
ME78002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10392
BC/BS
FL
01
—
2175307
AETNA DR GUERIN
FL
01
—
219802
AMERIGROUP
FL
01
—
46419
BC/BS
FL
01
—
952967
AETNA DR CASSIDY
FL
Enumeration date
06/02/2006
Last updated
02/05/2008
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