Individual
DANIEL STEPHEN DEMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 MACE RD, PATRICK AFB, FL 32925-3616
(304) 691-1500
(304) 523-4358
Mailing address
105 KRISTI DR, INDIAN HARBOUR BEACH, FL 32937-4106
(740) 649-6147
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101286799
VA
2084P0800X
Psychiatry Physician
D0104452
MD
2084P0800X
Psychiatry Physician
Primary
ME170501
FL
Other
Enumeration date
04/12/2018
Last updated
02/11/2026
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