Individual
MISS BERTHA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7957 RED BEAN DR, PENSACOLA, FL 32526-2926
(850) 549-5581
(850) 290-0135
Mailing address
7957 RED BEAN DR, PENSACOLA, FL 32526-2926
(850) 549-5581
(850) 290-0135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677619196
—
FL
Enumeration date
01/10/2007
Last updated
10/25/2023
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