Individual
RICHARD JOHN CASSIDY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7015 A C SKINNER PKWY BLDG 100, JACKSONVILLE, FL 32256-6932
(904) 516-3737
(904) 516-3738
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME135490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024390800
—
FL
01
—
G44E6
FL BLUE
FL
01
—
KD129
MEDICARE
FL
01
—
P02093038
RR MEDICARE
FL
Enumeration date
04/04/2013
Last updated
01/21/2025
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