Organization
J ROGER DEMONSTHENES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J ROGER DEMOSTHENES MD (OWNER)
(863) 293-3909
Entity
Organization
Contact information
Practice address
317 W 5TH ST, LAKELAND, FL 33805-4446
(863) 293-3909
(863) 293-1909
Mailing address
317 W 5TH ST, LAKELAND, FL 33805-4446
(863) 293-3909
(863) 293-1909
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME0033791
FL
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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