Individual
DR. JOHN J CASCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 MEMORIAL MEDICAL PKWY, SUITE 3805, PALM COAST, FL 32164-5981
(386) 586-1605
(386) 586-1607
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 3805, PALM COAST, FL 32164-5981
(385) 586-1605
(386) 586-1607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME121098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015312700
—
FL
01
—
379612
WELLCARE
GA
01
—
716606035A
PEACH STATE HEALTH PLAN
GA
05
—
716606035A
—
GA
05
—
716606035G
—
GA
01
—
P00145921
RAILROAD MEDICARE
GA
Enumeration date
01/13/2006
Last updated
01/24/2020
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