Organization
CASEY N GAINES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY GAINES MD (PRESIDENT)
(727) 867-2373
Entity
Organization
Contact information
Practice address
1761 OCEANVIEW DR, ST PETERSBURG, FL 33715-2509
(727) 867-2373
Mailing address
1761 OCEANVIEW DR, ST PETERSBURG, FL 33715-2509
(727) 867-2373
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME42122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067463000
—
FL
01
—
62423
BCBS
—
Enumeration date
02/08/2006
Last updated
08/27/2011
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