Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domenic J Demichele, MD, PC

Organization Preferred Provider Organization · NPI 1699960054

Domenic J Demichele, MD, PC is a Preferred Provider Organization in Florence, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 S Cashua Dr Ste A
Florence, SC 29501-4001
Phone: (843) 669-1615
Fax: (843) 669-1613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 15062 (SC)

Record details

NPI number1699960054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Domenic Demichele — Owner · (843) 669-1615
NPI enumeratedSeptember 10, 2007
Last updated in NPPESSeptember 12, 2007
Mailing address125 A Cashua Dr, Florence, SC 29501

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