MEDICARE: DR. WILLIAM M DEMARCHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	ME0073867	FL
2	207R00000X	Internal Medicine Physician	ME73867	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659353100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM M DEMARCHI MD

Provider Business Mailing Address
First Line	:	9878 CLINT MOORE ROAD
Second Line	:	SUITE 202
City	:	BOCA RATON
State	:	FL
Zip	:	33496-1037
Country	:	US
Telephone Number	:	561-451-2454
Fax Number	:	561-451-1223

Provider Business Practice Location Address
First Line	:	9878 CLINT MOORE ROAD
Second Line	:	SUITE 202
City	:	BOCA RATON
State	:	FL
Zip	:	33496-1037
Country	:	US
Telephone Number	:	561-451-2454
Fax Number	:	561-451-1223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	08/24/2011

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