MEDICARE: RAYMOND WILLARD CAST JR. PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9100928	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649243320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND WILLARD CAST JR. PA

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:	UFJP NEUROSURGERY
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-244-3660
Fax Number	:	904-244-3425

Provider Business Practice Location Address
First Line	:	580 W 8TH ST
Second Line	:	UFJP NEUROSURGERY
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6533
Country	:	US
Telephone Number	:	904-244-3950
Fax Number	:	904-244-3425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2006
Last Update Date	:	10/29/2015

Similar Medicare Providers

1982567533 — FERNANDA CORREA CHAVES MD
Practice Location Address:

580 W 8TH ST
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-633-0797
Practice Fax:

1306799986 — ELIZABETH B MILLS MA
Practice Location Address:

580 W 8TH ST STE 6005
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-427-8395
Practice Fax: 904-383-1660

1811699408 — DR. EREN D SIPAHI MD
Practice Location Address:

580 W 8TH ST
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-244-2225
Practice Fax:

1518947498 — JEFFREY PAUL BORKOSKI MD
Practice Location Address:

580 W 8TH ST
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-383-1022
Practice Fax: 904-244-9493

1437121324 — SANDEEP GROVER MD
Practice Location Address:

580 W 8TH ST , UFJP OPHTHALMOLOGY DEPT.
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-244-3890
Practice Fax: 904-244-3425

1972575884 — JOHN CLIFFORD HAWKINS III MD
Practice Location Address:

580 W 8TH ST , UFJP NEUROSURGERY
JACKSONVILLE, FL
32209-6533

Practice Phone: 904-244-3950
Practice Fax: 904-244-9563

Directions to “ RAYMOND WILLARD CAST JR. PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.