Deacon-Casey, Megan E

Deacon-Casey, Megan E is an individual health care provider with primary practice located at 330 A1A N Suite 322, Ponte Vedra Beach FL 32082-1823. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Deacon-Casey, Megan E can be contacted via phone (904) 551-0703.

Contact Information

Primary practice address
330 A1A N Suite 322 Ponte Vedra Beach FL 32082-1823
Phone: (904) 551-0703
Fax: (904) 551-0709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME88839 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME88839 Florida

Profile Details

NPI number 1235112517
LBN Legal business name Deacon-Casey, Megan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 3rd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235112517 NPPES
Florida MEDICAID 280670300

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