Provider Demographics
NPI:1851000236
Name:CADY, DONALD JAMES JR
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:JAMES
Last Name:CADY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 22ND AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-6427
Mailing Address - Country:US
Mailing Address - Phone:941-718-1590
Mailing Address - Fax:
Practice Address - Street 1:1010 VILLAGIO CIR UNIT 207
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-2604
Practice Address - Country:US
Practice Address - Phone:941-527-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide