Individual
CASSIDY BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6827 1ST AVE S STE 100, ST PETERSBURG, FL 33707-1242
(727) 341-0551
(727) 341-0332
Mailing address
6827 1ST AVE S STE 100, ST PETERSBURG, FL 33707-1242
(727) 341-0551
(727) 341-0332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9121727
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
03/17/2026
Last updated
04/28/2026
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