| Casey Robert Runte, | |
|
141 Coconut Dr, Indialantic, FL 32903-2607 | |
| (321) 610-8939 | |
| Not Available |
| Full Name | Casey Robert Runte |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 141 Coconut Dr, Indialantic, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760016356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1170542 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Robert Runte, 2046 Abalone Ave, Indialantic, FL 32903-3802 Ph: (321) 368-5427 | Casey Robert Runte, 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-8939 |
Mrs. Lisa Marie Johnson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 5th Ave Ste A, Indialantic, FL 32903 Phone: 321-254-6803 Fax: 321-254-6819 | |
Dale Phillip Greyslak, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3491 Titanic Cir, Indialantic, FL 32903 Phone: 407-451-0192 | |
Maxwell Clark Poling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 5th Ave, Indialantic, FL 32903 Phone: 321-312-1352 Fax: 321-312-1513 |