Individual
MRS. CASSIE DE LOS ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7560 RED BUG LAKE RD STE 1014, OVIEDO, FL 32765-6591
(407) 759-8683
Mailing address
1027 N HAMPTON AVE, ORLANDO, FL 32803-3412
(407) 759-8683
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9111460
FL
Other
Enumeration date
08/13/2018
Last updated
12/20/2024
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