Individual
DR. JAMIE MICHELLE DEMAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1417 LAKELAND HILLS BLVD STE 204, LAKELAND, FL 33805-3208
(863) 688-5811
Mailing address
1417 LAKELAND HILLS BLVD STE 204, LAKELAND, FL 33805-3208
(863) 688-5811
(863) 688-5866
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10638
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012232
HUMANA HEALTH PLAN
PR
01
—
060882
CRUZ AZUL
PR
01
—
200090
MEDICARE Y MUCHO MAS
PR
01
—
201780
UTI PREFERRED
PR
01
—
2104
PREFERRED MEDICARE CHOICE
PR
01
—
3110638
U.I.A.
PR
01
—
6560029
HUMANA INSURANCE
PR
01
—
89997DE
TRIPLE S
PR
01
—
PG 3787
PANAMERICAN LIFE INSURANC
PR
Enumeration date
03/17/2006
Last updated
04/10/2019
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