Provider Demographics
NPI:1942496633
Name:WILLIAM M DEMARCHI MD PA
Entity Type:Organization
Organization Name:WILLIAM M DEMARCHI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEMARCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-451-2454
Mailing Address - Street 1:9878 CLINT MOORE RD
Mailing Address - Street 2:SUITE #202
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1037
Mailing Address - Country:US
Mailing Address - Phone:561-451-2454
Mailing Address - Fax:
Practice Address - Street 1:9878 CLINT MOORE RD
Practice Address - Street 2:SUITE #202
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1037
Practice Address - Country:US
Practice Address - Phone:561-451-2454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73867207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8037Medicare PIN