Individual
CASSANDRA NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4111
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY715
STATE LICENSE
FL
Enumeration date
05/11/2017
Last updated
05/11/2017
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