Organization
LANCE S CASSELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE S CASSELL M.D. (DIRECTOR/OWNER)
(941) 961-4967
Entity
Organization
Contact information
Practice address
6400 EDGELAKE DR, SARASOTA, FL 34240-8813
(941) 961-4967
Mailing address
5687 EASTWIND DR, SARASOTA, FL 34233-5075
(941) 961-4967
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
ME86655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME86655
MEDICAL LICENSE
FL
Enumeration date
05/11/2009
Last updated
07/19/2011
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