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CASSANDRA HAGGERT, DO, PLLC

Company Details

Entity Name: CASSANDRA HAGGERT, DO, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jan 2023 (2 years ago)
Document Number: L23000047978
FEI/EIN Number 922170569
Address: 10707 66TH ST N STE A, PINELLAS PARK, FL, 33782, US
Mail Address: 10707 66TH ST N STE A, PINELLAS PARK, FL, 33782, US
ZIP code: 33782
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023716750 2023-02-22 2023-02-22 10707 66TH ST N STE A, PINELLAS PARK, FL, 337822353, US 10707 66TH ST N STE A, PINELLAS PARK, FL, 337822353, US

Contacts

Phone +1 727-544-8300

Authorized person

Name DR. CASSANDRA HAGGERT
Role MEMBER
Phone 7277982178

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
HAGGERT CASSANDRA C Agent 10707 66TH ST N STE A, PINELLAS PARK, FL, 33782

Authorized Member

Name Role Address
HAGGERT CASSANDRA C Authorized Member 10707 66TH ST N STE A, PINELLAS PARK, CA, 33782

Documents

Name Date
ANNUAL REPORT 2024-02-06
Florida Limited Liability 2023-01-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State