Cassidy, Richard John
Cassidy, Richard John is an sole proprietor health care provider with primary practice located at 7015 A C Skinner Pkwy Bldg 100 , Jacksonville FL 32256-6932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Cassidy, Richard John can be contacted via phone (904) 516-3737.Contact Information
Primary practice address
7015 A C Skinner Pkwy Bldg 100
Jacksonville FL 32256-6932
Phone: (904) 516-3737
Fax: (904) 516-3738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME135490 | Florida |
Profile Details
| NPI number | 1427391861 |
|---|---|
| LBN Legal business name | Cassidy, Richard John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2013 |
| Last updated | Feb 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427391861 | NPPES |
| Florida | Other | KD129 | MEDICARE |
| Florida | MEDICAID | 024390800 | MEDICARE |
| Florida | Other | P02093038 | MEDICARE |
| Florida | Other | G44E6 | MEDICARE |
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