Organization
GIFT OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER L PARNELL BA (TARGETED CASE MANAGER)
(727) 423-0892
Entity
Organization
Contact information
Practice address
4425 PARK BLVD, PINELLAS PARK, FL 33781-3540
(727) 423-0892
(727) 547-6752
Mailing address
4425 PARK BLVD, PINELLAS PARK, FL 33781-3540
(727) 423-0892
(727) 547-6752
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757593900
—
FL
Enumeration date
03/23/2007
Last updated
12/17/2008
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