Provider Demographics
NPI:1154015543
Name:GERMANY-CASEY, JEREMIAH JOSEPH JEWEL
Entity type:Individual
Prefix:
First Name:JEREMIAH
Middle Name:JOSEPH JEWEL
Last Name:GERMANY-CASEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27604 CASHFORD CIR STE 115-N
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6952
Mailing Address - Country:US
Mailing Address - Phone:813-345-8584
Mailing Address - Fax:
Practice Address - Street 1:27604 CASHFORD CIR STE 115-N
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6952
Practice Address - Country:US
Practice Address - Phone:813-345-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician