Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 11013229 | FL |
NPI | 1003480534 |
---|---|
Provider Name | Casey M Turek |
First Address | Loxahatchee, FL 33470-4476 |
Second Address | Delray Beach, FL 33484-6500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2021 |
Last Update Date | 04/08/2021 |