Individual
DR. CASSANDRA LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W SAMPLE RD STE 101, DEERFIELD BEACH, FL 33064-1370
(954) 888-3800
(954) 888-3808
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 888-3800
(954) 888-3808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
65962
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME140105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103443300
—
FL
Enumeration date
07/06/2014
Last updated
03/20/2026
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