Cassis, Jimmy Peter

Cassis, Jimmy Peter is an individual health care provider with primary practice located at 1400 E Oakland Park Blvd Ste 210, Oakland Park FL 33334-4400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cassis, Jimmy Peter can be contacted via phone (954) 561-6222.

Contact Information

Primary practice address
1400 E Oakland Park Blvd Ste 210 Oakland Park FL 33334-4400
Phone: (954) 561-6222
Fax: (954) 990-7650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP 2642392 Florida

Profile Details

NPI number 1508156357
LBN Legal business name Cassis, Jimmy Peter
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Aug 6th, 2015 - about 9 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 1508156357 NPPES
Florida Other ID168Z MEDICARE PTAN
Florida MEDICAID 014428800 MEDICARE PTAN

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