Individual
DR. MEGAN E DEACON-CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 A1A N, SUITE 322, PONTE VEDRA BEACH, FL 32082-1823
(904) 551-0703
(904) 551-0709
Mailing address
330 A1A N STE 321, PONTE VEDRA BEACH, FL 32082-1826
(904) 280-0600
(904) 280-0601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME88839
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME88839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280670300
—
FL
Enumeration date
11/21/2005
Last updated
08/03/2020
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