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Individual

SHIRLEY W CASSADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3301 OVERSEAS HWY, MARATHON, FL 33050-2329
(305) 743-5533
(305) 289-0630
Mailing address
PO BOX 403208, ATLANTA, GA 30384-3208
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME43897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08138
BCBS
FL
Enumeration date
02/08/2006
Last updated
09/06/2007
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