Individual
PETRONIA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 NW FEDERAL HWY, STUART, FL 34994-1016
(407) 284-9784
(888) 691-0607
Mailing address
713 NW FEDERAL HWY, STUART, FL 34994-1016
(407) 284-9784
(888) 691-0607
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
FL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
372600000X
Adult Companion
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019043400
—
FL
Enumeration date
02/10/2022
Last updated
02/10/2022
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