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Individual

ROBERT W DEMETRIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2850 MORNINGSIDE DR, MOUNT DORA, FL 32757-6610
(352) 383-0733
(352) 383-7114
Mailing address
2850 MORNINGSIDE DR, MOUNT DORA, FL 32757-6610
(352) 383-0733
(352) 383-7114

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
ME 68919
FL
207NS0135X
Procedural Dermatology Physician
Primary
ME 68919
FL

Other

Enumeration date
03/21/2006
Last updated
04/16/2015
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