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Individual

MONICA JANINE LEE DEMECILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-6004
(352) 265-0111
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME173591
FL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME173591
FL
390200000X
Student in an Organized Health Care Education/Training Program
317489
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/21/2019
Last updated
08/08/2025
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