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Contact Information

CASEY T CARR
655 W 8TH ST
JACKSONVILLE, FL32209-6511
 Phone: 904-244-6340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CASEY T CARR · (Male)

NPI Number 1417342007
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2015
Last updated 02/25/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME139535
  • OK License # 44869
  • FL Medicaid 106176500
Hospital affiliation(s)
  • SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA - (Acute Care)
    1600 SW ARCHER RD
    GAINESVILLE, FL 32610
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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