Cassidy, Timothy Paul

Cassidy, Timothy Paul is an individual health care provider with primary practice located at 310 S Marion Ave , Lake City FL 32025-7064. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Cassidy, Timothy Paul can be contacted via phone (386) 438-5722.

Contact Information

Primary practice address
310 S Marion Ave Lake City FL 32025-7064
Phone: (386) 438-5722
Fax: (386) 438-8631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9227994 Florida

Profile Details

NPI number 1841760816
LBN Legal business name Cassidy, Timothy Paul
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Jul 17th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841760816 NPPES
Florida MEDICAID PENDING

Popular Providers