Macy, Kassondra L

Macy, Kassondra L is an individual health care provider with primary practice located at 17835 Murdock Cir , Port Charlotte FL 33948-4000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Macy, Kassondra L can be contacted via phone (941) 625-6547.

Contact Information

Primary practice address
17835 Murdock Cir Port Charlotte FL 33948-4000
Phone: (941) 625-6547
Fax: (941) 629-6415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT11580 Florida

Profile Details

NPI number 1467448258
LBN Legal business name Macy, Kassondra L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467448258 NPPES
Florida Other Z076F BC/BS

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