CASSANDRA LEE WALLACE

SARASOTA, FL
NPI1356918494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: FL  PA9114232)
Enumeration Date2021-06-08
Last Update Date2022-04-05
Business Address
CASSANDRA LEE WALLACE PA-C
7250 BENEVA RD
SARASOTA, FL 34238-2806
Phone number: 941-921-0986
Mailing Address
CASSANDRA LEE WALLACE PA-C
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 941-921-0986