Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME86655 | FL |
NPI | 1205058328 |
---|---|
Provider Name | Lance Cassell |
First Address | Sarasota, FL 34233-2364 |
Second Address | Sarasota, FL 34233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 06/08/2019 |