MEDICARE: DR. GEORGE J PARELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME21358	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275560765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE J PARELL M.D.

Provider Business Mailing Address
First Line	:	330 W. 23RD ST.
Second Line	:	SUITE E
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7614
Country	:	US
Telephone Number	:	850-769-3393
Fax Number	:	850-784-4869

Provider Business Practice Location Address
First Line	:	330 W. 23RD ST.
Second Line	:	SUITE E
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-7614
Country	:	US
Telephone Number	:	850-769-3393
Fax Number	:	850-784-4869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/22/2010

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