Dr. Samuel Keith Parish
Family Doctor Family Doctor - Addiction Medicine
12550 New Brittany Blvd Ste 201
Fort Myers
, Florida 33907-3655
Dr. Samuel Keith Parish
Family Doctor Family Doctor - Addiction Medicine
12550 New Brittany Blvd Ste 201
Fort Myers
, Florida 33907-3655
(239) 343-9193
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Samuel Keith Parish
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 343-9193
- Phone : (239) 343-9190
Second Address
- Dr. Samuel Keith Parish
- 12550 New Brittany Blvd Ste 201
- Fort Myers, FL
- Zip : 33907-3655
- Fax : (239) 343-9193
- Phone : (239) 343-9190
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 42966 | TN |
| N | 207Q00000X | Family Doctor | ME98798 | FL |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | ME98798 | FL |
National Provider Identifier
| NPI | 1376527580 |
|---|---|
| Provider Name | Dr. Samuel Keith Parish |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33907-3655 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2005 |
| Last Update Date | 08/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02146 | BCBS (01) | FL |
| 024147900 | (05) | FL |
| E01405 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.