Perry, Casey Marie

Perry, Casey Marie is an individual health care provider with primary practice located at 1859 Sw Newland Way , Lake City FL 32025-6966. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Perry, Casey Marie can be contacted via phone (386) 758-0003.

Contact Information

Primary practice address
1859 Sw Newland Way Lake City FL 32025-6966
Phone: (386) 758-0003
Fax: (386) 755-7940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9337756 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9337756 Florida

Profile Details

NPI number 1386917524
LBN Legal business name Perry, Casey Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2012
Last updated Nov 14th, 2019 - about 5 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 1386917524 NPPES
Florida MEDICAID 004564900

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