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NPI Code Detail

MEDICARE: PARKER EWING PA-C

MEDICARE: PARKER EWING PA-C
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
1363A00000XPhysician Assistant9118817FL

General Provider Information

NPI Number : 1992554216
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARKER EWING PA-C
Provider Business Mailing Address
First Line : 116 VIA D ESTE APT 401
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3959
Country : US
Telephone Number : 850-797-0948
Fax Number :
Provider Business Practice Location Address
First Line : 8723 STIRLING RD
Second Line :
City : COOPER CITY
State : FL
Zip : 33328-5932
Country : US
Telephone Number : 954-256-1713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2024
Last Update Date : 05/17/2024

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Directions to “ PARKER EWING PA-C” Practice Location

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