Provider Demographics
NPI:1568943082
Name:CASSARA CHIROPRACTIC & NUTRITION LLC
Entity Type:Organization
Organization Name:CASSARA CHIROPRACTIC & NUTRITION LLC
Other - Org Name:ALL ABOUT HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CASSARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-288-0854
Mailing Address - Street 1:11301 SE 189TH TER
Mailing Address - Street 2:
Mailing Address - City:OCKLAWAHA
Mailing Address - State:FL
Mailing Address - Zip Code:32179-4749
Mailing Address - Country:US
Mailing Address - Phone:352-288-0854
Mailing Address - Fax:
Practice Address - Street 1:2119 PINE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-8802
Practice Address - Country:US
Practice Address - Phone:352-687-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty