Individual
MISS CASSANDRA JUANITA BALWANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10959 W COLONIAL DR, OCOEE, FL 34761-2944
(407) 418-9999
(407) 808-7392
Mailing address
10737 120TH ST, SOUTH RICHMOND HILL, NY 11419-2813
(347) 806-1009
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016872
NY
Other
Enumeration date
09/04/2013
Last updated
04/03/2019
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