# DELTA MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902281264
- **Authorized official:** DENNIS DEMARIA (OWNER)
- **Authorized official phone:** (856) 287-1775

## Contact information

- **Practice address:** 4606 62ND AVE E, BRADENTON, FL 34203-6306
- **Practice address phone:** (856) 287-1775
- **Mailing address:** 4606 62ND AVE E, BRADENTON, FL 34203-6306
- **Mailing address phone:** (856) 287-1775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME116794 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | ARNP9338988 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2015
- **Last updated:** 07/28/2015