Organization
CASSIDY HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P CASSIDY JR. (OWNER)
(386) 438-5722
Entity
Organization
Contact information
Practice address
310 S MARION AVE, LAKE CITY, FL 32025-7064
(386) 438-5722
(386) 438-8631
Mailing address
263 SW PROFESSIONAL GLN, LAKE CITY, FL 32025-1105
(386) 438-5722
(386) 438-8631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
07/17/2023
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