Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME140081 | FL |
N | 111NI0900X | Internist | ME140081 | FL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME140081 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME140081 | FL |
NPI | 1376809962 |
---|---|
Provider Name | Alex M Parker |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2012 |
Last Update Date | 17/01/2020 |