Provider Demographics
NPI:1225417363
Name:PARKES, JULIAN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:PARKES
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E BROWARD BLVD
Mailing Address - Street 2:STE 1710
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33394-3000
Mailing Address - Country:US
Mailing Address - Phone:786-529-7362
Mailing Address - Fax:
Practice Address - Street 1:500 E BROWARD BLVD
Practice Address - Street 2:STE 1710
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33394-3000
Practice Address - Country:US
Practice Address - Phone:786-529-7362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLEMT540185146N00000X
FLRN9387237163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic