Individual
COLTON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 OCEAN DR STE 8, BOYNTON BEACH, FL 33426-5131
(561) 737-4777
Mailing address
1023 WATER TOWER WAY APT 207, HYPOLUXO, FL 33462-6246
(772) 713-7404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT9115419
FL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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