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Individual

DR. SAMUEL BURTON PARKER II

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 969-7979
(850) 476-9352
Mailing address
PO BOX 11339, PENSACOLA, FL 32524-1339
(850) 969-7979
(850) 476-9352

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME78521
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2500250
UNITED HEALTHCARE
01
4139737
AETNA
01
47189
BCBS
FL
01
59166822PAR
BCBS OF ALABAMA
AL
Enumeration date
10/18/2005
Last updated
07/08/2007
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