Individual
DR. ROBERT DEMARCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2582 MAGUIRE RD, SUITE 270, OCOEE, FL 34761-4749
(407) 255-8144
(407) 641-9528
Mailing address
11319 SHANDON PARK WAY, WINDERMERE, FL 34786-6063
(407) 258-8570
(407) 641-9528
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35059825
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME103204
FL
207RP1001X
Pulmonary Disease Physician
35059825
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028616
ANTHEM
OH
01
—
000000130414
ANTHEM
OH
05
—
0793897
—
OH
01
—
DE0673482
PIN
OH
01
—
DE0673483
PIN
OH
Enumeration date
09/20/2006
Last updated
12/05/2012
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