Individual
DR. CASEY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(321) 209-4303
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
(386) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01060942A
IN
207P00000X
Emergency Medicine Physician
ME144799
FL
207P00000X
Emergency Medicine Physician
Primary
N4655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093739906
BCBSTX
TX
05
—
208960901
—
TX
05
—
208960903
—
TX
01
—
8L23788
BCBS
TX
Enumeration date
07/26/2006
Last updated
04/15/2020
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