Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Renee Bonaquist, DO

Individual provider Family Medicine Physician · NPI 1689836918

Casey Renee Bonaquist, DO is a Family Practice in Jacksonville, Florida. Qualified in 2003, 23 years ago. Practices with Lyerly Baptist Inc, a 70-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

836 Prudential Dr Ste 1006
Jacksonville, FL 32207-8337
Phone: (904) 202-1795
Fax: (904) 376-3478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081-6237 — (904) 202-1795

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X · Licence OS12248 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS12248 (FL)

Record details

NPI number1689836918
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 27, 2008
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Lyerly Baptist Inc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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