Individual
CASEY TERRY CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-6340
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-6340
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME139535
FL
207P00000X
Emergency Medicine Physician
44869
OK
207P00000X
Emergency Medicine Physician
ME139535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106176500
—
FL
Enumeration date
04/01/2015
Last updated
02/25/2026
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