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Individual

MISS CASSANDRA F TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208
Mailing address
12190 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-1206
(352) 597-1208

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP340962
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305585900
FL
Enumeration date
12/12/2006
Last updated
07/08/2007
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