Blake, Cassann Natacha

Blake, Cassann Natacha is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Blake, Cassann Natacha can be contacted via phone (954) 659-5232.

Contact Information

Primary practice address
2950 Cleveland Clinic Blvd Weston FL 33331-3609
Phone: (954) 659-5232
Fax: (954) 659-5233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X ME 104485 Florida

Profile Details

NPI number 1376580860
LBN Legal business name Blake, Cassann Natacha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 24th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376580860 NPPES
Florida MEDICAID 001144900

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