MEDICARE: CASANDRA HELBLE

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	363LF0000X	Family Nurse Practitioner	11032834	FL
2	163WE0003X	Emergency Registered Nurse	RN9387086	FL

General Provider Information

NPI Number	:	1386411403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASANDRA HELBLE

Provider Business Mailing Address
First Line	:	3638 SW 16TH ST
Second Line	:
City	:	OKEECHOBEE
State	:	FL
Zip	:	34974-5459
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1796 HIGHWAY 441 NORTH
Second Line	:
City	:	OKEECHOBEE
State	:	FL
Zip	:	34972
Country	:	US
Telephone Number	:	863-824-2960
Fax Number	:

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

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	06/08/2024

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Directions to “ CASANDRA HELBLE ” Practice Location

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