MEDICARE: CASSIE MACIEL M.D.

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
1	207R00000X	Internal Medicine Physician	A167117	CA
2	207R00000X	Internal Medicine Physician	ME162780	FL

General Provider Information

NPI Number	:	1225482409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE MACIEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3814
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93130-3814
Country	:	US
Telephone Number	:	401-440-0918
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N TAMPA ST FL 3360215
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4719
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	06/19/2024

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