Individual provider Active NPI

Juliana Demello, APRN

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1568930980
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000029 Issued in FL
Practice address
309 Palm Coast Pkwy NE Ste 2
Palm Coast, FL 32137-3887
Phone
(386) 445-7073
Fax
(386) 445-7464
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000029 FL Primary

Addresses

Primary practice location

309 Palm Coast Pkwy NE Ste 2
Palm Coast, FL 32137-3887

Mailing address

309 Palm Coast Pkwy NE Ste 2
Palm Coast, FL 32137-3887
Phone (386) 445-7073

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190123002265 FL Practitioner - Nurse Practitioner 1153668553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

309 Palm Coast Pkwy NE
Palm Coast, FL 32137-3886
Phone (386) 756-0591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11000029FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Nov 12, 2018 Accepting new patients
East Coast Bariatrics, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jan 14, 2026 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Jan 14, 2026 Accepting new patients

Locations

201 N Clyde Morris Blvd
Ste 210
Daytona Beach, FL 32114
Phone (386) 226-4537

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

201 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 254-4165

707 Platinum Pt
Lake Mary, FL 32746
Phone (386) 481-6774

1688 W Granada Blvd
Ste 2A
Ormond Beach, FL 32174
Phone (386) 425-4460

1688 W Granada Blvd
Ste 2A1
Ormond Beach, FL 32174
Phone (386) 425-1166

309 Palm Coast Pkwy NE
Ste 2
Palm Coast, FL 32137
Phone (386) 445-7073

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1568930980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PALM COAST PKWY NE STE 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373887",
            "telephone_number": "386-445-7073",
            "fax_number": "386-445-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PALM COAST PKWY NE STE 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373887",
            "telephone_number": "386-445-7073",
            "fax_number": "386-445-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELLO",
        "first_name": "JULIANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.