IndividualActive
Casey Bonaquist, D.O.
NPI 1689836918 · Obesity Medicine (Family Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1689836918
- Entity type
- Individual
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- License
- OS12248 (FL)
Practice location
836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337
Phone: (904) 202-1795
Fax: (904) 376-3478
Mailing address
Po Box 746647
Atlanta, GA 30374-6647
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2025-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.