Individual
CHARLENE ANN DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4450 W. EAU GALLIE BLVD, SUITE 250, MELBOURNE, FL 32034
(321) 751-6671
(407) 339-4903
Mailing address
4450 W. EAU GALLIE BLVD, SUITE 250, MELBOURNE, FL 32034
(321) 751-6671
(407) 339-4903
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
775172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307328900
—
FL
01
—
RR MEDICARE
P00293656
FL
Enumeration date
08/09/2006
Last updated
03/01/2019
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