Provider Demographics
NPI:1871578849
Name:CASSARA, SAMUEL JAMES IX (DC)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:JAMES
Last Name:CASSARA
Suffix:IX
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 SE MARICAMP RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2103
Mailing Address - Country:US
Mailing Address - Phone:352-687-2800
Mailing Address - Fax:352-687-1108
Practice Address - Street 1:7133 SE MARICAMP RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2103
Practice Address - Country:US
Practice Address - Phone:352-687-2800
Practice Address - Fax:352-687-1108
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor