Real Demosthene, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11017257 Issued in FL

Practice address

5730 Ibizan CT
Orlando, FL 32810-3216

Phone

(321) 444-9220

NPI assigned

Jan 10, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1427719624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 IBIZAN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103216",
            "telephone_number": "321-444-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 IBIZAN CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328103216",
            "telephone_number": "321-444-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSTHENE",
        "first_name": "REAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11017257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oldine Lyncia Demelien, RN
• Alexander Demeris
• Sameh Talaat Demian, M.D
• Donald Mark Demke, M.D.
• Maria C Demori, M.D.
• Brian Dempsey
• Molly Dempsey, M.D.
• Michelle Diane Demyan, M.S.
• Kyle Andrew Dallas Den Beste, M.D.
• Brian Paul Denbeste, OD

• Primary Care Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.