Individual
ANTHONY JOHN DESMARAIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2771 BROWNWOOD BLVD, THE VILLAGES, FL 32163-2005
(352) 750-8220
Mailing address
1503 BUENOS AIRES BLVD STE 110, LADY LAKE, FL 32159-6825
(352) 750-8220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS019901
PA
207Q00000X
Family Medicine Physician
Primary
OS16681
FL
390200000X
Student in an Organized Health Care Education/Training Program
OT017644
PA
Other
Enumeration date
04/26/2017
Last updated
11/09/2022
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