Healthcare Provider Details

I. General information

NPI: 1295266385
Provider Name (Legal Business Name): BRADLEY PARKER PARRISH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL
CELEBRATION FL
34747-4970
US

IV. Provider business mailing address

3702 W SPRUCE ST # 1073
TAMPA FL
33607-2553
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS16965
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: