MEDICARE: MS. CYNTHIA A DEMOLA PA

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
1	363A00000X	Physician Assistant	25MP00094400	NJ
2	363A00000X	Physician Assistant	PA9116747	FL

General Provider Information

NPI Number	:	1720020167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA A DEMOLA PA

Provider Business Mailing Address
First Line	:	4123 UNIVERSITY BLVD S STE E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4320
Country	:	US
Telephone Number	:	904-744-4448
Fax Number	:	904-744-4048

Provider Business Practice Location Address
First Line	:	4123 UNIVERSITY BLVD S STE E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4320
Country	:	US
Telephone Number	:	904-744-4448
Fax Number	:	904-744-4048

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	03/04/2026

Similar Medicare Providers

1700825767 — PUBLIX SUPER MARKETS INC
Practice Location Address:

4320 DEERWOOD LAKE PKWY
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-620-8344
Practice Fax: 904-997-0575

1174558753 — DR. JAMAL SALIBA SALAMEH MD
Practice Location Address:

4123 UNIVERSITY BLVD S STE E
JACKSONVILLE, FL
32216-4320

Practice Phone: 904-744-7300
Practice Fax: 904-744-4048

1275648255 — DR. SONAL G GOSWAMI MD
Practice Location Address:

4320 DEERWOOD LAKE PKWY STE 101-232
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-513-8747
Practice Fax:

1750440988 — BLACK BAG MEDICAL INC
Practice Location Address:

4320 DEERWOOD LAKE PKWY , SUITE 101, PMB 321
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-371-4051
Practice Fax: 904-807-4839

1831210889 — GASTROENTEROLOGY ASSOCIATES OF NORTHEAST FLORIDA P.L.
Practice Location Address:

4123 UNIVERSITY BLVD S STE A
JACKSONVILLE, FL
32216-4320

Practice Phone: 904-737-2300
Practice Fax: 904-737-2441

1174707236 — MS. YULANDA T FAISON- OYEBANJI DNP, NP
Practice Location Address:

4320 DEERWOOD LAKE PKWY , 310
JACKSONVILLE, FL
32216-1177

Practice Phone: 904-608-2900
Practice Fax:

Directions to “ MS. CYNTHIA A DEMOLA PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.