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NPI Code Detail

MEDICARE: DEMETRIUS S STELMASHENKO PA-C

MEDICARE: DEMETRIUS S STELMASHENKO PA-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
1363AS0400XSurgical Physician AssistantPA2873FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891789889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMETRIUS S STELMASHENKO PA-C
Provider Business Mailing Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 407-649-6907
Fax Number : 321-841-5245
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 407-649-6907
Fax Number : 321-841-5245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 06/20/2024

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Directions to “ DEMETRIUS S STELMASHENKO PA-C” Practice Location

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