Ms Cassidy Taylor Shoff, CRNA | |
421 N 21st Ave, Hollywood, FL 33020-4013 | |
(814) 319-2484 | |
Not Available |
Full Name | Ms Cassidy Taylor Shoff |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 421 N 21st Ave, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376171983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 006919 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
---|---|
Ms Cassidy Taylor Shoff, CRNA 280 Creekview Dr, Kernersville, NC 27284-6840 Ph: (814) 319-2484 | Ms Cassidy Taylor Shoff, CRNA 421 N 21st Ave, Hollywood, FL 33020-4013 Ph: (814) 319-2484 |
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