Demers, Charlene Ann
Demers, Charlene Ann is an individual health care provider with primary practice located at 4450 W. Eau Gallie Blvd Suite 250, Melbourne FL 32034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Demers, Charlene Ann can be contacted via phone (321) 751-6671.Contact Information
Primary practice address
4450 W. Eau Gallie Blvd Suite 250
Melbourne FL 32034
Phone: (321) 751-6671
Fax: (407) 339-4903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 775172 | Florida |
Profile Details
| NPI number | 1407867336 |
|---|---|
| LBN Legal business name | Demers, Charlene Ann |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Mar 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407867336 | NPPES |
| Florida | MEDICAID | 307328900 | |
| Florida | Other | RR MEDICARE |
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