Healthcare Provider Details
I. General information
NPI: 1780888248
Provider Name (Legal Business Name): PARSONS MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
908 S PARSONS AVE SUITE A
BRANDON FL
33511-6064
US
IV. Provider business mailing address
PO BOX 3550
BRANDON FL
33509-3550
US
V. Phone/Fax
- Phone: 813-681-3400
- Fax: 813-681-1950
- Phone: 813-689-9900
- Fax: 813-653-9696
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PARMINDER
DHALIWAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 813-689-9900