Jack L Cassell
Surgeon Urologist Surgical Oncologist
717 North Donnelly Street
Mount Dora
, Florida 32757
Jack L Cassell
Surgeon Urologist Surgical Oncologist
717 North Donnelly Street
Mount Dora
, Florida 32757
(352) 383-4434
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
- Urologist
Languages spoken
- English
Location
First Address
- Jack L Cassell
- 717 North Donnelly Street
- Mount Dora, FL
- Zip : 32757
- Fax : (352) 383-4434
- Phone : (352) 383-3773
Second Address
- Jack L Cassell
- 717 North Donnelly Street
- Mount Dora, FL
- Zip : 32757
- Fax : (352) 383-4434
- Phone : (352) 383-3773
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | ME46095 | FL |
| N | 208600000X | Surgeon | ME46095 | FL |
| N | 2086X0206X | Surgical Oncologist | ME46095 | FL |
| Y | 208800000X | Urologist | ME46095 | FL |
National Provider Identifier
| NPI | 1164505483 |
|---|---|
| Provider Name | Jack L Cassell |
| First Address | Mount Dora, FL 32757 |
| Second Address | Mount Dora, FL 32757 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 09/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04857 | BCBS FL (01) | |
| 053421800 | (05) | FL |
| 254899200 | (05) | FL |
| 340013414 | RR MEDICARE (01) | |
| 6515446002 | CIGNA (01) | |
| D51122 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.