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NPI Code Detail

MEDICARE: CASSANDRA NOEL VI

MEDICARE: CASSANDRA NOEL VI
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1851131551
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA NOEL VI
Provider Business Mailing Address
First Line : 3007 WAYLON LN
Second Line :
City : VALRICO
State : FL
Zip : 33596-5648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 W JERSEY AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-3130
Country : US
Telephone Number : 813-393-9408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ CASSANDRA NOEL VI ” Practice Location

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