Organization
PARKER HEALTHCARE PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN PARKER (PRESIDENT)
(321) 956-4000
Entity
Organization
Contact information
Practice address
1112 W NEW HAVEN AVE, MELBOURNE, FL 32904-4056
(321) 956-4000
(321) 726-0972
Mailing address
1112 W NEW HAVEN AVE, MELBOURNE, FL 32904-4056
(321) 956-4000
(321) 726-0972
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9714
BCBS
FL
Enumeration date
04/04/2006
Last updated
07/24/2007
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