Preston Casavant, Shawn Nicole

Preston Casavant, Shawn Nicole is an individual health care provider with primary practice located at 1900 Don Wickham Drive Ste 120, Clermont FL 34711-1947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Preston Casavant, Shawn Nicole can be contacted via phone (352) 241-7050.

Contact Information

Primary practice address
1900 Don Wickham Drive Ste 120 Clermont FL 34711-1947
Phone: (352) 241-7050
Fax: (352) 241-7035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA3403 Florida

Profile Details

NPI number 1952300535
LBN Legal business name Preston Casavant, Shawn Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Oct 23rd, 2014 - about 11 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 1952300535 NPPES
Florida MEDICAID 291263500

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