Individual provider · Type 1 NPI

Philip Blake Demario, APRN

Nurse Practitioner · Fort Myers, FL

NPI number 1346037025 Active

Practice location

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

Fax (239) 236-0337

Mailing address

PO Box 9279
Jupiter, FL 33468-9279

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11038490 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346037025

Philip Blake Demario, APRN's National Provider Identifier is 1346037025, issued on Apr 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 13, 2026.