Healthcare Provider Details

I. General information

NPI: 1720909336
Provider Name (Legal Business Name): PARVIN DANESHVAR DNP APRN FNP-C LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3607 EGRET DR
MELBOURNE FL
32901-8151
US

IV. Provider business mailing address

3607 EGRET DR
MELBOURNE FL
32901-8151
US

V. Phone/Fax

Practice location:
  • Phone: 321-294-3611
  • Fax: 332-895-7516
Mailing address:
  • Phone: 321-294-3611
  • Fax: 332-895-7516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. PARVIN DANESHVAR
Title or Position: NURSE PRACTITIONER/OWNER
Credential: DNP, APRN, FNP-C, PM
Phone: 321-294-3611