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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407867336 NPPES
Florida MEDICAID 307328900
Florida Other RR MEDICARE

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