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Organization

CURTIS W CASSIDY M D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CURTIS WILLIAM CASSIDY M.D. (PRESIDENT)
(863) 686-0800
Entity
Organization

Contact information

Practice address
832 S FLORIDA AVE STE 2, LAKELAND, FL 33801-5202
(863) 686-0800
(863) 686-0805
Mailing address
832 S FLORIDA AVE STE 2, LAKELAND, FL 33801-5202
(863) 686-0800
(863) 686-0805

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME86103
FL
2084P0800X
Psychiatry Physician
Primary
ME86103
FL

Other

Enumeration date
08/22/2006
Last updated
03/31/2020
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