Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO 2474 | FL |
Y | 222Z00000X | Podiatrist | PO 2474 | FL |
NPI | 1053373928 |
---|---|
Provider Name | Dr. John F Parrinello |
First Address | Brooksville, FL 34613-6056 |
Second Address | Brooksville, FL 34613-6056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 25/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390275700 | (05) | FL |
5108290002 | DME (01) | FL |
U45931 | (02) | FL |