Healthcare Provider Details

I. General information

NPI: 1093646549
Provider Name (Legal Business Name): DEVIN ROBERT DEMAREE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 US HIGHWAY 27 S
AVON PARK FL
33825-3334
US

IV. Provider business mailing address

93 US HIGHWAY 27 S
AVON PARK FL
33825-3334
US

V. Phone/Fax

Practice location:
  • Phone: 863-453-0222
  • Fax:
Mailing address:
  • Phone: 863-453-0222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70470
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: