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Individual

CLAUDE JACKSON PARKER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5127 S ORANGE AVE, SUITE 100, ORLANDO, FL 32809-3000
(407) 841-1491
(407) 841-1493
Mailing address
5127 S ORANGE AVE, SUITE 100, ORLANDO, FL 32809-3000
(407) 841-1491
(407) 841-1493

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME50072
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049443300
FL
01
180027261
RR MEDICARE
FL
Enumeration date
06/29/2006
Last updated
01/02/2013
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