Individual
DIANNE MATTOX PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, NEWBORN NURSERY, FORT LAUDERDALE, FL 33316-2510
(954) 355-5810
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(919) 425-1500
(919) 425-1593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME62616
FL
Other
Enumeration date
01/13/2009
Last updated
07/13/2010
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