Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY RENEE BONAQUIST, D.O.
Active Sole ProprietorCASEY RENEE BONAQUIST, D.O. is a Obesity Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1689836918 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1689836918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2008 (17.944370978657 yrs)
- Last Updated
- Aug 15, 2025
- Licenses
-
OS12248 (FL)OS12248 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
836 PRUDENTIAL DR STE 1006JACKSONVILLE, FL, 322078337Browse FL providers · Browse ZIP 32207
- Phone
- 9042021795
- Fax
- 9043763478
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| SCOTT LYNCH | MD | 1306959465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.