Individual
MR. TIMOTHY PAUL CASSIDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
310 S MARION AVE, LAKE CITY, FL 32025-7064
(386) 438-5722
(386) 438-8631
Mailing address
310 S MARION AVE, LAKE CITY, FL 32025-7064
(386) 438-5722
(386) 438-8631
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9227994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
12/03/2018
Last updated
07/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us