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Individual

DR. EPHRAIM E PARENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224
(904) 953-2000
(314) 747-4189
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
ME137212
FL
2085N0904X
Nuclear Radiology Physician
2013009624
MO

Other

Enumeration date
06/30/2010
Last updated
09/01/2020
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