Provider Demographics
NPI:1679940373
Name:CAMERON, CASSANDRA (ARNP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S DOUGLAS RD
Mailing Address - Street 2:STE 308
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:305-913-9441
Mailing Address - Fax:305-442-1198
Practice Address - Street 1:127 RIGDE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-6401
Practice Address - Country:US
Practice Address - Phone:863-421-7400
Practice Address - Fax:863-421-7448
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9311200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health