Individual
MANUEL DEMARCO DOMAGTOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
7915 83RD AVE, SEBASTIAN, FL 32958-3282
(772) 589-0580
(877) 291-0858
Mailing address
7915 83RD AVE, SEBASTIAN, FL 32958-3282
(772) 589-0580
(877) 291-0858
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9200546
FL
363LF0000X
Family Nurse Practitioner
ARNP9200546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015927100
—
FL
Enumeration date
08/06/2013
Last updated
03/31/2025
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