Oluwakemi Demetrius

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11030351 Issued in FL

Practice address

9461 NW 55TH St
Sunrise, FL 33351-7802

Phone

(786) 908-4382

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1619792579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 NW 55TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517802",
            "telephone_number": "786-908-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 NW 55TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517802",
            "telephone_number": "786-908-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIUS",
        "first_name": "OLUWAKEMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena A Deluca, D.M.D.
• Kyle Deluca, DMD
• Daphnee Delva
• Eva P Delvecchio, CRNA,APRN
• Michelle Rene Demenkow, PH.D.
• Susan Marie Dennard, M.D.
• Daniel Desir, PHARMD
• Emilda Desir
• Rose Carmelle Desir
• Elisabeth Despinosse, CCPA

• Family Nurse Practitioner in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.