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NPI Code Detail

MEDICARE: NICOLE DEMAS ARNP-C

MEDICARE:   NICOLE  DEMAS  ARNP-C
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
1363LF0000XFamily Nurse PractitionerARNP9338128FL

General Provider Information

NPI Number : 1780046391
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE DEMAS ARNP-C
Provider Business Mailing Address
First Line : 1323 W FLETCHER AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33612-3310
Country : US
Telephone Number : 813-968-4293
Fax Number :
Provider Business Practice Location Address
First Line : 1323 W FLETCHER AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33612-3310
Country : US
Telephone Number : 813-968-4293
Fax Number : 813-968-3182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 04/23/2019

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Directions to “ NICOLE DEMAS ARNP-C” Practice Location

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