Individual
JUSTIN T CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 936-1616
(239) 936-0837
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME126584
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018272400
—
FL
01
—
1254617
WELLCARE HEALTHY KIDS
FL
01
—
1344406
WELLCARE MEDICARE/MEDICAID
FL
01
—
8349059
CIGNA
FL
01
—
KQKBH
BCBS
FL
01
—
P01716775
RR MEDICARE
FL
01
—
P1043848
FREEDOM
FL
01
—
P978488
OPTIMUM
FL
Enumeration date
04/25/2011
Last updated
05/10/2017
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