MEDICARE: CASSANDRA B ONOFREY MD PA

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	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	ME78787	FL

General Provider Information

NPI Number	:	1437121662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASSANDRA B ONOFREY MD PA

Provider Business Mailing Address
First Line	:	2000 PALM BEACH LAKES BLVD STE 400
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6504
Country	:	US
Telephone Number	:	561-404-5030
Fax Number	:	954-606-9066

Provider Business Practice Location Address
First Line	:	2000 PALM BEACH LAKES BLVD STE 400
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6504
Country	:	US
Telephone Number	:	561-404-5030
Fax Number	:	954-606-9066

Authorized Official
Title or Position	:	PRESIDENT/MD
Name	:	DR. CASSANDRA BETH ONOFREY
Credential	:	MD
Telephone Number	:	561-404-5030

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	02/01/2021

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