| Demac Healthcare Llc | |
|
2917 W State Road 434 Ste 111 Longwood FL 32779-4884 | |
| (407) 741-3690 | |
| Not Available |
| Full Name | Demac Healthcare Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2917 W State Road 434 Ste 111, Longwood, Florida |
| Authorized Official Name and Position | Erica Tilus (OWNER) |
| Authorized Official Contact | 4078449440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Demac Healthcare Llc 1970 E Osceola Pkwy Ste 338 Kissimmee FL 34743-8629 Ph: (407) 741-3690 | Demac Healthcare Llc 2917 W State Road 434 Ste 111 Longwood FL 32779-4884 Ph: (407) 741-3690 |
| NPI Number | 1104658103 |
|---|---|
| Provider Enumeration Date | 08/17/2024 |
| Last Update Date | 03/08/2025 |
| Certification Date | 03/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104658103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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