Healthcare Provider Details

I. General information

NPI: 1124683123
Provider Name (Legal Business Name): WILLIAM M DEMARCHI MEDICAL PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9878 CLINT MOORE RD STE 202
BOCA RATON FL
33496-1037
US

IV. Provider business mailing address

1732 S CONGRESS AVE STE 346
PALM SPRINGS FL
33461-2140
US

V. Phone/Fax

Practice location:
  • Phone: 561-451-2454
  • Fax: 561-451-1223
Mailing address:
  • Phone: 561-385-0731
  • Fax: 561-629-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM STEELE
Title or Position: CEO
Credential:
Phone: 561-385-0731