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Individual

FREDERICK DEMELLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2595 TARPON COVE DR APT 1212, PUNTA GORDA, FL 33950-1915
(941) 629-1181
Mailing address
2595 TARPON COVE DR APT 1212, PUNTA GORDA, FL 33950-1915
(941) 629-1181

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202012795
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PCT.0005764
CT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS53140
FL

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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