CASEY BONAQUIST, D.O.

Family Medicine - Obesity Medicine

Active Individual
NPI: 1689836918

Practice Address

836 PRUDENTIAL DR STE 1006
Jacksonville, FL 32207

Phone: (904) 202-1795

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No OS12248 (FL)
Family Medicine - Obesity Medicine 207QB0002X Yes OS12248 (FL)

Frequently Asked Questions

NPI 1689836918 is the National Provider Identifier for CASEY BONAQUIST, D.O., a Family Medicine - Obesity Medicine provider located in Jacksonville, FL. This NPI was enumerated on June 27, 2008.
CASEY BONAQUIST, D.O. practices at 836 PRUDENTIAL DR STE 1006, Jacksonville, FL 32207.

Quick Facts

NPI
1689836918
Type
Individual
Enumerated
Jun 27, 2008
Last Updated
Aug 15, 2025

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