Individual
MR. JOHN WILLIAM DEMETREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1312 RIVERVIEW CIR, BRADENTON, FL 34209-1257
(941) 792-2007
(941) 792-2007
Mailing address
1312 RIVERVIEW CIR, BRADENTON, FL 34209-1257
(941) 792-2007
(941) 792-2007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0033525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406073299
RAILROAD MEDICARE
FL
Enumeration date
02/07/2006
Last updated
11/21/2012
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