Individual
DR. CASEY JUSTIN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8778
Mailing address
PO BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8878
(352) 273-7402
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME120238
FL
207W00000X
Ophthalmology Physician
N7218
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012369300
—
FL
Enumeration date
07/29/2010
Last updated
06/01/2020
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