Search › Florida › 207QB0002X
Casey Bonaquist, D.O
NPI 1689836918 · on the registry since 2008 · sole proprietor
Practice
- Address
- 836 Prudential Dr Ste 1006
Jacksonville, FL 32207 - Phone
- (904) 202-1795
- Fax
- (904) 376-3478
- Organisation at this address
- Walgreen Co
Faben Obg Inc
Lyerly Baptist Inc
Lyerly Baptist Inc
Florida Woman Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 228
Additional practice sites
- 400 Colonnade Dr Ste 230, Ponte Vedra, FL
Registry record
- Primary taxonomy
- 207QB0002X
207QB0002X
- Also registered as
- 207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida