Individual
MICHAEL A PARIMUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5011 GATE PARKWAY, BLDG 100 STE 100, JACKSONVILLE, FL 32256-3225
(904) 512-7239
(866) 380-0827
Mailing address
PO BOX 57100, JACKSONVILLE, FL 32241-7100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME88189
FL
207R00000X
Internal Medicine Physician
ME88189
FL
208VP0000X
Pain Medicine Physician
ME88189
FL
Other
Enumeration date
12/09/2005
Last updated
09/13/2022
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