Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Blank

Individual provider Medical Physician Assistant · NPI 1275481384

Cassidy Blank is a Physician Assistant in St Petersburg, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2026
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Practice location Address checks out

6827 1st Ave S Ste 100
St Petersburg, FL 33707-1242
Phone: (727) 341-0551
Fax: (727) 341-0332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 2nd Ave Sw Fl 5, Largo, FL 33770-3120 — (727) 341-0551

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9121727 (FL)

Record details

NPI number1275481384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 17, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address6827 1st Ave S Ste 100, St Petersburg, FL 33707-1242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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