Provider Demographics
NPI:1760904866
Name:DEMANY, ALLISON LEE (DMSC, PA-C)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LEE
Last Name:DEMANY
Suffix:
Gender:F
Credentials:DMSC, PA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:LEE
Other - Last Name:MERGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5471 BEE RIDGE ROAD
Mailing Address - Street 2:SUITE 530
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3413
Mailing Address - Country:US
Mailing Address - Phone:941-487-2160
Mailing Address - Fax:941-487-2161
Practice Address - Street 1:5741 BEE RIDGE RD STE 530
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5061
Practice Address - Country:US
Practice Address - Phone:941-487-2160
Practice Address - Fax:941-487-2160
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA059114363A00000X
FLPA9112789363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1117211OtherNCCPA