Individual
DR. CASSIDY WEST-SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101267660
VA
207L00000X
Anesthesiology Physician
Primary
ME156429
FL
207R00000X
Internal Medicine Physician
ME156429
FL
Other
Enumeration date
01/03/2018
Last updated
08/29/2023
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