Healthcare Provider Details

I. General information

NPI: 1629535745
Provider Name (Legal Business Name): SANDRA D PARMETER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

3142 INDIANA ST
MIAMI FL
33133-4413
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3621
  • Fax:
Mailing address:
  • Phone: 540-381-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9326052
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11017269
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: