Healthcare Provider Details

I. General information

NPI: 1295639011
Provider Name (Legal Business Name): CASSANDRA DENISE SAYLES SHAFEEK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33446 E LAKE JOANNA DR
EUSTIS FL
32736-7234
US

IV. Provider business mailing address

33446 E LAKE JOANNA DR
EUSTIS FL
32736-7234
US

V. Phone/Fax

Practice location:
  • Phone: 352-267-0184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN11051340
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: