| Philip Blake Demario, | |
|
4820 Griffin Blvd, Fort Myers, FL 33908-2016 | |
| (239) 208-6648 | |
| Not Available |
| Full Name | Philip Blake Demario |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 4820 Griffin Blvd, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346037025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11038490 (Florida) | Primary |
| Entity Name | Axel Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578968749 PECOS PAC ID: 2062737885 Enrollment ID: O20150218001840 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Blake Demario, 3941 Tamiami Trl Ste 3157 #522, Punta Gorda, FL 33950 Ph: (561) 441-2557 | Philip Blake Demario, 4820 Griffin Blvd, Fort Myers, FL 33908-2016 Ph: (239) 208-6648 |
Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107 | |
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250 | |
Violeta Fay Marie Calhoun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9369 Golden Rain Ln, Fort Myers, FL 33967 Phone: 239-410-6584 Fax: 727-954-6546 | |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101 | |
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063 | |
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700 | |
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249 |