Individual
JEREMY KNIGHT DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2207, JACKSONVILLE, FL 32258-7419
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116800
FL
363AS0400X
Surgical Physician Assistant
PA9116800
FL
Other
Enumeration date
02/14/2023
Last updated
11/06/2025
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