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Individual

MRS. CASSIDY PAIGE MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1840 MEASE DRIVE, SUITE #204, SAFETY HARBOR, FL 34695-6602
(727) 791-7504
(727) 791-6409
Mailing address
2901 58TH AVE N., ST. PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9249232
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005452700
FL
Enumeration date
06/30/2009
Last updated
12/05/2013
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