Individual
LYNVAL PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
ARNP 2729582
FL
363L00000X
Nurse Practitioner
ARNP2729582
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2729582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005587800
—
FL
Enumeration date
02/26/2007
Last updated
08/13/2013
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