Organization
DELTA MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DEMARIA (OWNER)
(856) 287-1775
Entity
Organization
Contact information
Practice address
4606 62ND AVE E, BRADENTON, FL 34203-6306
(856) 287-1775
Mailing address
4606 62ND AVE E, BRADENTON, FL 34203-6306
(856) 287-1775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME116794
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9338988
FL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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