Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CASEY M MCCLONE, MD
ActiveDR. CASEY M MCCLONE, MD is a Sports Medicine healthcare provider located in ST AUGUSTINE, Florida. NPI 1760688998 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1760688998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2007 (19.124213476459 yrs)
- Last Updated
- Oct 9, 2023
- Licenses
-
51995 (MN)ME108685 (FL)
Practice Information
- Address
-
216 SOUTHPARK CIR E STE 216ST AUGUSTINE, FL, 320865135Browse FL providers · Browse ZIP 32086
- Phone
- 9046340640
- Fax
- 9046340203
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
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.