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General NPI Number Information
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NPI Number | 1689771792
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Entity Type | Individual
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Provider Name | ROBERT DEMARCO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 2582 MAGUIRE RD SUITE 270
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City | OCOEE
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State | FL
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Zip | 34761-4749
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Country | US
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Telephone | 407-255-8144
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Fax | 407-641-9528
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Provider Business Mailing Address
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Address Line | 11319 SHANDON PARK WAY
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City | WINDERMERE
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State | FL
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Zip | 34786-6063
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Country | US
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Telephone | 407-258-8570
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Fax | 407-641-9528
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35059825
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35059825
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME103204
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License Number State | FL
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