Individual
ALLISON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2207, JACKSONVILLE, FL 32258-7419
(904) 652-0800
(904) 652-0811
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101228400
—
FL
Enumeration date
09/07/2018
Last updated
11/06/2019
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