Individual
CASSIDY BLACK DEBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 NORTHPOINT PKWY STE 102, WEST PALM BEACH, FL 33407-1901
(561) 655-3331
Mailing address
3013 SW ANN ARBOR RD, PORT ST LUCIE, FL 34953-6925
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
11035775
FL
Other
Enumeration date
10/07/2024
Last updated
06/23/2025
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