Wallace-Wical, Cassandra Ann

Wallace-Wical, Cassandra Ann is an individual health care provider with primary practice located at 2350 Sunset Point Rd Ste C , Clearwater FL 33765-1443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wallace-Wical, Cassandra Ann can be contacted via phone (727) 797-3155.

Contact Information

Primary practice address
2350 Sunset Point Rd Ste C Clearwater FL 33765-1443
Phone: (727) 797-3155
Fax: (727) 797-4301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9204048 Florida

Profile Details

NPI number 1124342563
LBN Legal business name Wallace-Wical, Cassandra Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2010
Last updated Feb 6th, 2023 - about 3 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 1124342563 NPPES
Florida MEDICAID PENDING

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