William Samuel Cassidy III, R.R.T.

Individual provider Active NPI Registered Respiratory Therapist · Gainesville, FL

NPI 1366534752 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366534752
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
RT 7716 (FL)
Practice address
1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone
(352) 376-1611
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RT 7716FLMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT 7716 FL Yes

Addresses

Primary practice location

1601 SW Archer Rd
Gainesville, FL 32608-1135

Mailing address

9717 NE 65TH LN
Bronson, FL 32621-5222
Phone (352) 486-3864

Other providers in Gainesville, FL

All providers in Gainesville, FL · Registered Respiratory Therapist in Florida

Sources for this page

Verify at the official NPI Registry.