Jeffrey Demercurio MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME101551 Issued in FL

Legal business name

JEFFREY DEMERCURIO MD PA

Practice address

1425 Hand Ave Ste C
Ormond Beach, FL 32174-1136

Phone

(386) 317-0444

Fax

(386) 275-1177

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Jeffrey Demercurio, MD

Title

Owner

Phone

(386) 882-0428

Specialties & licenses 1

Addresses

Other names 1

• Florida Center for Plastic and Cosmetic Surgery Doing business as

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1790223972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-317-0444",
            "fax_number": "386-275-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-317-0444",
            "fax_number": "386-275-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Hand Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321741136",
            "country_code": "US",
            "telephone_number": "386-317-0444",
            "fax_number": "386-275-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY DEMERCURIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "DEMERCURIO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-882-0428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME101551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Center for Plastic and Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Center for Plastic and Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayne Kwiatkowski LLC
• Jayne Kwiatkowski LLC
• Wenisha Jean
• Jean-Claude Jeanty, M.D.
• Demeshanique Jefferson
• Jeffrey T Newfield DO PA
• Kimberly Deanne Jensen, LCSW
• Jerrold Ecklind DO PA
• John B Turner MD PA
• John F Cullen MD

• Plastic Surgery Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.