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NPI Code Detail

MEDICARE: CASSANDRA DEHANEY-DUFFUS

MEDICARE: CASSANDRA DEHANEY-DUFFUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantARNP3168072FL
2363LF0000XFamily Nurse PractitionerAPRN3168072FL

General Provider Information

NPI Number : 1922050129
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA DEHANEY-DUFFUS
Provider Business Mailing Address
First Line : 1400 COLONIAL BLVD
Second Line : SUITE #1
City : FT MYERS
State : FL
Zip : 33907-1055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13813 METRO PKWY
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4343
Country : US
Telephone Number : 239-931-3440
Fax Number : 239-931-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 03/03/2026

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Directions to “ CASSANDRA DEHANEY-DUFFUS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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