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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467448258 | NPPES |
| Florida | Other | Z076F | BC/BS |
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