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Individual

DR. STEPHEN R PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4205 BELFORT RD STE 1100, JACKSONVILLE, FL 32216
(904) 296-3103
(904) 296-3106
Mailing address
4205 BELFORT RD STE 1100, JACKSONVILLE, FL 32216-5876
(904) 296-3103
(904) 296-3106

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME111304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004410600
FL
Enumeration date
04/14/2008
Last updated
05/18/2018
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