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Individual

CASEY NICOLE RUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2911 ROBERTS AVE, TALLAHASSEE, FL 32310-5007
(850) 644-1543
(855) 230-7402
Mailing address
2911 ROBERTS AVE, TALLAHASSEE, FL 32310-5007
(850) 644-1543
(850) 645-2824

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145847
FL

Other

Enumeration date
04/04/2016
Last updated
08/21/2024
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