Healthcare Provider Details

I. General information

NPI: 1215514773
Provider Name (Legal Business Name): ANTHONY CASPER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TONY CASPER DO

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SW ARCHER RD
GAINESVILLE FL
32608-1136
US

IV. Provider business mailing address

PO BOX 27128
SALT LAKE CITY UT
84127-0128
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number14282458-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: