Individual
CASEY L BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
175 RAINIER LN STE 9, SAINT JOHNS, FL 32259-3093
(904) 860-9531
Mailing address
242 HILLENDALE CIR, SAINT JOHNS, FL 32259-8530
(904) 860-9531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9105446
PA LICENSE
FL
Enumeration date
06/25/2009
Last updated
10/05/2025
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