Individual
DR. CHARLES J CASSADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(863) 688-2334
(863) 577-1160
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME117046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009852800
—
FL
Enumeration date
11/21/2011
Last updated
04/24/2018
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