Casimiro, Jessy

Casimiro, Jessy is an individual health care provider with primary practice located at 290 Clyde Morris Blvd Suite A2, Ormond Beach FL 32174-8130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Casimiro, Jessy can be contacted via phone (386) 673-9790.

Contact Information

Primary practice address
290 Clyde Morris Blvd Suite A2 Ormond Beach FL 32174-8130
Phone: (386) 673-9790
Fax: (386) 673-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0069181 Florida

Profile Details

NPI number 1639157902
LBN Legal business name Casimiro, Jessy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated May 2nd, 2024 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639157902 NPPES
Florida MEDICAID 251984400

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