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NPI Code Detail

MEDICARE: MR. KAELIN EDWARD DEMUTH DO

MEDICARE: MR. KAELIN EDWARD DEMUTH DO
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
1207P00000XEmergency Medicine PhysicianOS23319FL

General Provider Information

NPI Number : 1952003741
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KAELIN EDWARD DEMUTH DO
Provider Business Mailing Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 05/27/2026

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Directions to “ MR. KAELIN EDWARD DEMUTH DO” Practice Location

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