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NPI Code Detail

MEDICARE: SHARON DEMERY

MEDICARE:   SHARON  DEMERY
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
1164W00000XLicensed Practical NursePN5172140FL

General Provider Information

NPI Number : 1194913855
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON DEMERY
Provider Business Mailing Address
First Line : 766 11TH DR SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-4432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 766 11TH DR SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-4432
Country : US
Telephone Number : 772-569-6814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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Directions to “ SHARON DEMERY ” Practice Location

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