MEDICARE: MS. CASSANDRA CARTI

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	1744P3200X	Prosthetics Case Management		FL

General Provider Information

NPI Number	:	1932638426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CASSANDRA CARTI

Provider Business Mailing Address
First Line	:	7841 COUNTY DOWN CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-7833
Country	:	US
Telephone Number	:	407-719-9143
Fax Number	:

Provider Business Practice Location Address
First Line	:	12478 LAKE UNDERHILL RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7100
Country	:	US
Telephone Number	:	407-275-9320
Fax Number	:

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

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	06/08/2017

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