Individual
MICHAEL DEMASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5554
(772) 398-4780
(772) 398-1550
Mailing address
4007 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-5679
(772) 343-1774
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME107909
FL
Other
Enumeration date
09/22/2005
Last updated
06/17/2016
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