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NPI Code Detail

MEDICARE: JAMES H CASSIANO M.D.

MEDICARE:   JAMES H CASSIANO  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
1207RB0002XObesity Medicine (Internal Medicine) PhysicianME156711FL
2208600000XSurgery PhysicianME156711FL

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 : 1841653268
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES H CASSIANO M.D.
Provider Business Mailing Address
First Line : 4205 BELFORT RD STE 4015
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-3623
Country : US
Telephone Number : 904-450-6063
Fax Number : 904-539-4091
Provider Business Practice Location Address
First Line : 123 BAPTIST WAY STE 2C
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2254
Country : US
Telephone Number : 448-227-6250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2016
Last Update Date : 11/20/2024

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