Individual
CASSANDRA GRACE WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7808
(352) 265-0111
Mailing address
PO BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7584
(352) 392-3498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113684600
—
FL
Enumeration date
11/22/2021
Last updated
11/19/2024
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