Healthcare Provider Details
I. General information
NPI: 1851558191
Provider Name (Legal Business Name): PARSONS WALK-IN CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2008
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
908 S PARSONS AVE SUITE B
BRANDON FL
33511-6064
US
IV. Provider business mailing address
PO BOX 3550
BRANDON FL
33509-3550
US
V. Phone/Fax
- Phone: 813-655-6800
- Fax: 813-655-7800
- Phone: 813-689-8900
- Fax: 813-653-9696
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
AMARJIT
S
DHALIWAL
Title or Position: CEO/PRESIDENT
Credential:
Phone: 813-689-8900