Philip Blake Demario, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11038490 Issued in FL

Practice address

8991 Daniels Center Dr Ste 105
Fort Myers, FL 33912-0317

Phone

(239) 440-6456

Fax

(239) 236-0337

NPI assigned

Apr 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axel Health LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1578968749
  Medicare reassignment NPD
• Axel Medical Group LLC

  • Pulmonary Disease Physician
  • Fort Myers, FL
  • NPI 1467140228
  Medicare reassignment NPD
• Gulf Shore Internal Medicine, P.a.

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1255501268
  NPD (past)

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346037025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689279",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 DANIELS CENTER DR STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120317",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARIO",
        "first_name": "PHILIP",
        "middle_name": "BLAKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11038490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Delong, ARNP
• Natalie Annelee Delonge, D.C.
• Jeordan Rae Delp, PA-C
• Ruth Delpe
• Emilio Delvalle, M.D.
• Dylan Andrew Demars, PMHNP-BC
• Mary Ellen T Demartini, ARNP
• John Aloysius Dempsey III, APRN
• Dena Paniccia LLC
• Rhode Dena

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.