Provider Demographics
NPI:1336235258
Name:DEMLER, JAMES WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:DEMLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 NURSING HOME DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-3839
Mailing Address - Country:US
Mailing Address - Phone:863-494-4474
Mailing Address - Fax:863-494-0439
Practice Address - Street 1:425 NURSING HOME DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-3839
Practice Address - Country:US
Practice Address - Phone:863-494-4474
Practice Address - Fax:863-494-0439
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35780208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
340008150OtherMEDICARE RAILROAD
FLP102651OtherOPTIMUM
FL4605638OtherAETNA
FL8133042OtherCIGNA
FL213612OtherUNIVERSAL
FL67509100Medicaid
FL212111OtherAVMED
FLP01051883OtherRAILROAD MCR
FLP308033OtherFREEDOM HEALTH
FL212111OtherAVMED
340008150OtherMEDICARE RAILROAD
FL58389WMedicare PIN
FLP102651OtherOPTIMUM
FLP01051883OtherRAILROAD MCR
FL58389VMedicare PIN