MEDICARE: BRIDGET CASEY

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	363L00000X	Nurse Practitioner	11031618	FL

General Provider Information

NPI Number	:	1699344127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET CASEY

Provider Business Mailing Address
First Line	:	3493 GULF BREEZE PKWY
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-1402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3078 GULF BREEZE PKWY
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-3246
Country	:	US
Telephone Number	:	251-363-1046
Fax Number	:

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

Provider Enumeration Date	:	06/19/2021
Last Update Date	:	04/24/2026

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Directions to “ BRIDGET CASEY ” Practice Location

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