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NPI Code Detail

MEDICARE: DR. STEVEN R PARKS M.D.

MEDICARE: DR. STEVEN R PARKS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianME132353FL

General Provider Information

NPI Number : 1225150121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN R PARKS M.D.
Provider Business Mailing Address
First Line : 79 SAND PIT RD
Second Line : SUITE 302
City : DANBURY
State : CT
Zip : 06810-4005
Country : US
Telephone Number : 203-749-5720
Fax Number :
Provider Business Practice Location Address
First Line : 6521 N ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2131
Country : US
Telephone Number : 954-941-6301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 09/03/2022

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