Individual
DEREK CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 SE 9TH ST STE 106, FORT LAUDERDALE, FL 33316-1113
(549) 463-0112
(954) 463-0117
Mailing address
2633 NW 48TH ST, BOCA RATON, FL 33434-2586
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS19961
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
06/24/2025
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