MEDICARE: EDUARDO PARRA-DAVILA 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
1	208C00000X	Colon & Rectal Surgery Physician	ME73141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609864925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO PARRA-DAVILA M.D.

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL STE 302
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5435
Country	:	US
Telephone Number	:	407-303-3824
Fax Number	:	407-303-3825

Provider Business Practice Location Address
First Line	:	1309 N. FLAGLER DRIVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5435
Country	:	US
Telephone Number	:	561-882-4541
Fax Number	:	561-650-6093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/27/2018

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Directions to “ EDUARDO PARRA-DAVILA M.D.” Practice Location

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