Demetrice Dowdell

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906727 Issued in FL

Legal business name

DEMETRICE DOWDELL

Practice address

1959 Cherokee Cove TRL
Jacksonville, FL 32221-4927

Phone

(904) 881-8908

NPI assigned

Jan 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Demetrice Dowdell

Title

Administrator/Owner

Phone

(904) 881-8908

Specialties & licenses 1

Addresses

Other names 1

• Demetrice Adult Family Care Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1265822175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 CHEROKEE COVE TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214927",
            "telephone_number": "904-881-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 CHEROKEE COVE TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214927",
            "telephone_number": "904-881-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRICE DOWDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "DOWDELL",
        "authorized_official_first_name": "DEMETRICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "904-881-8908",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Demetrice Adult Family Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lou Demark
• Kristina Dematas, DO
• Kawelo Chua Demdam, PHARM.D.
• Serena Demery
• Haya Demetree
• Meena Demetrios, M.D.
• Julia Demeyer
• Anna Melody Demian, MD
• Alisa Danelle Demico, M.S., CCC-SLP
• Jeremy Knight Demille, PA-C

• Adult Care Home Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.