Individual
PHILIP M DEMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7955 SPYGLASS HILL RD STE A, MELBOURNE, FL 32940-8249
(321) 255-6670
(321) 242-2545
Mailing address
7955 SPYGLASS HILL RD STE A, MELBOURNE, FL 32940-8249
(321) 255-6670
(321) 242-2545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
BP10050541
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS14694
FL
208D00000X
General Practice Physician
OT012076
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6470221
UHC
FL
01
—
9356777
CIGNA
FL
01
—
OS14694
FLORIDA MEDICAL LICENSE
FL
01
—
VE7HV
FLORIDA BLUE
FL
Enumeration date
12/17/2007
Last updated
04/22/2026
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