Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK L CASSELL, MD
Active Sole ProprietorJACK L CASSELL, MD is a Urology healthcare provider located in MOUNT DORA, Florida. NPI 1164505483 is currently active in the NPPES registry. Verify at CMS.
Urology · MOUNT DORA, FL
Registration Details
- NPI Number
- 1164505483
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.853159285848 yrs)
- Last Updated
- Dec 9, 2010
- Licenses
-
ME46095 (FL)ME46095 (FL)ME46095 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
717 NORTH DONNELLY STREETMOUNT DORA, FL, 32757Browse FL providers · Browse ZIP 32757
- Phone
- 3523833773
- Fax
- 3523834434
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Surgical Oncology
- Additional Specialty
- Urology
Other Urology Providers in MOUNT DORA, FL
| Name | Credential | NPI |
|---|---|---|
| JAMES W YOUNG III | MD | 1669462925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.