Bonaquist, Casey Renee

Bonaquist, Casey Renee is an sole proprietor health care provider with primary practice located at 400 Colonnade Dr Ste 160 , Ponte Vedra FL 32081-6236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bonaquist, Casey Renee can be contacted via phone (904) 824-6194.

Contact Information

Primary practice address
400 Colonnade Dr Ste 160 Ponte Vedra FL 32081-6236
Phone: (904) 824-6194
Fax: (904) 824-5333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OT013360 Pennsylvania

Profile Details

NPI number 1689836918
LBN Legal business name Bonaquist, Casey Renee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Feb 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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