Healthcare Provider Details

I. General information

NPI: 1376287763
Provider Name (Legal Business Name): PARTH PRAVINCHANDRA PARMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD FL ROOM1901
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

1600 SW ARCHER RD # CG-098
GAINESVILLE FL
32610-3003
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-4845
  • Fax:
Mailing address:
  • Phone: 352-265-4845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: