Jeremy Knight Demille, PA-C
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1154028751
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1154028751
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Knight Demille
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2023
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116800 | FL | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA9116800 | FL |
Practice location
14540 Old Saint Augustine Rd Ste 2207Jacksonville, FL 32258-7419
Phone 904-388-6518 · Fax 904-384-1005
Mailing address
Po Box 746647Atlanta, GA 30374-6647
Phone 904-202-2092 · Fax 904-376-4075
Other practice locations
836 Prudential Dr Ste 1400
Jacksonville, FL 32207-8340
Jacksonville, FL 32207-8340
Phone 904-388-6518 · Fax 904-384-1005
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