Provider Demographics
NPI:1679940373
Name:CAMERON, CASSANDRA (APRN)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:CAMERON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 CORTARO DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6811
Mailing Address - Country:US
Mailing Address - Phone:813-633-9443
Mailing Address - Fax:813-633-8761
Practice Address - Street 1:772 CORTARO DR
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6811
Practice Address - Country:US
Practice Address - Phone:813-633-9443
Practice Address - Fax:813-633-8761
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9311200363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology