Shirley W Cassada, M.D.

Individual provider Active NPI Emergency Medicine Physician · Marathon, FL

NPI 1336112689 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1336112689
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
ME43897 (FL)
Practice address
3301 Overseas Hwy
Marathon, FL 33050-2329
Phone
(305) 743-5533
Fax
(305) 289-0630
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME43897 FL Yes

Addresses

Primary practice location

3301 Overseas Hwy
Marathon, FL 33050-2329

Mailing address

PO Box 403208
Atlanta, GA 30384-3208
Phone (800) 377-8721

Other identifiers

IdentifierTypeStateIssuer
08138OtherFLBCBS

Other providers in Marathon, FL

All providers in Marathon, FL · Emergency Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.