Individual
MS. IMKE CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1099 CITRUS TOWER BLVD, CLERMONT, FL 34711-1947
(352) 404-9467
Mailing address
PO BOX 1739, MINNEOLA, FL 34755-1739
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3374332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300634400
—
FL
01
—
G2666
FL BCBS PROVIDER #
FL
Enumeration date
07/06/2006
Last updated
02/14/2012
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