Provider Demographics
NPI:1497798227
Name:CASCIO, SVETLANA ALEKSANDROVNA (MD)
Entity Type:Individual
Prefix:MS
First Name:SVETLANA
Middle Name:ALEKSANDROVNA
Last Name:CASCIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 S MAITLAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5631
Mailing Address - Country:US
Mailing Address - Phone:407-644-9730
Mailing Address - Fax:407-645-4799
Practice Address - Street 1:301 S MAITLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5631
Practice Address - Country:US
Practice Address - Phone:407-644-9730
Practice Address - Fax:407-645-4799
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 95576207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDY6512Medicare UPIN