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NPI Code Detail

MEDICARE: AMER KASSAS APRN

MEDICARE:   AMER  KASSAS  APRN
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
1363L00000XNurse PractitionerAPRN11045237FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609749423
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMER KASSAS APRN
Provider Business Mailing Address
First Line : 444 W DESOTO ST
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2231
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17021 US HIGHWAY 441
Second Line :
City : MOUNT DORA
State : FL
Zip : 32757-6734
Country : US
Telephone Number : 352-323-5467
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2025
Last Update Date : 04/13/2026

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Directions to “ AMER KASSAS APRN” Practice Location

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