Jack L Cassell is a Urology in Mount Dora, Florida. Jack L Cassell practices all healthcare services and medical treatments related to Urology. The NPI Number for Jack L Cassell is 1164505483. The last update date is 2010-12-09.
Jack L Cassell's current location address is 717 North Donnelly Street, Mount Dora, Florida. You can contact this provider via phone number 3523833773 and fax number 3523834434. The mailing address for Jack L Cassell is 717 North Donnelly Street, Mount Dora, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Cassell |
|---|---|
| Address | 717 North Donnelly Street, Mount Dora, Florida |
| Phone Number | 3523833773 |
| Fax Number | 3523834434 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164505483 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2010-12-09 |
Provider Mailing Address Detail
| Address | 717 North Donnelly Street |
|---|---|
| City | Mount Dora |
| State | Florida (FL) |
| Post Code | 32757 |
| Phone Number | 3523833773 |
| Fax Number | 3523834434 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | ME46095 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6515446002 | CIGNA | ||
| 4857 | BCBS FL | ||
| 254899200 | FL | -- | |
| 340013414 | RR MEDICARE | ||
| 53421800 | FL | -- |
Post Comment/ Review Below
What is the Jack L Cassell's unique identification number?
The Jack L Cassell has been assigned the NPI (National Provider Identifier) Number 1164505483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jack L Cassell's facilities are geographically located?
The facilities of Jack L Cassell are physically situated at the following location: 717 North Donnelly Street, Mount Dora, FL, 32757.
What is the Jack L Cassell's specialty and taxonomy code?
The Jack L Cassell's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did the Jack L Cassell receive the assignment of its 1164505483 from the Centers for Medicare & Medicaid Services?
The Jack L Cassell was issued its 1164505483 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information pertaining to Jack L Cassell most recently updated or revised?
The details related to Jack L Cassell, including its address, specialty, and other relevant information, were last updated or revised on 2010-12-09.