Healthcare Provider Details

I. General information

NPI: 1811807787
Provider Name (Legal Business Name): FL GATOR ENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 S JOG RD STE 3
DELRAY BEACH FL
33446-3806
US

IV. Provider business mailing address

13660 S JOG RD STE 3
DELRAY BEACH FL
33446-3806
US

V. Phone/Fax

Practice location:
  • Phone: 561-512-8316
  • Fax:
Mailing address:
  • Phone: 561-512-8316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TODD PARNES
Title or Position: MEDICAL DOCTOR
Credential: DO
Phone: 561-512-8316