Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | ME137212 | FL |
NPI | 1174834576 |
---|---|
Provider Name | Dr. Ephraim E Parent |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 01/09/2020 |