Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | OS8153 | FL |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS8153 | FL |
NPI | 1649250614 |
---|---|
Provider Name | Dr. Todd Irwin Parnes |
First Address | Delray Beach, FL 33446 |
Second Address | Delray Beach, FL 33446-3806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H30979 | (02) | FL |
OS8153 | LICENSE NUMBER (01) | FL |