Individual
CASIE J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
603 7TH STREET S, STE 540, ST PETERSBURG, FL 33701
(727) 828-8400
(727) 828-8401
Mailing address
603 7TH STREET S, STE 540, ST PETERSBURG, FL 33701
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015538300
—
FL
Enumeration date
04/24/2014
Last updated
01/30/2017
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