Provider Demographics
NPI:1235442955
Name:G JOSEPH PARELL MD PA
Entity Type:Organization
Organization Name:G JOSEPH PARELL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:G.
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PARELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-769-3393
Mailing Address - Street 1:330 W 23RD ST
Mailing Address - Street 2:STE. E
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-7614
Mailing Address - Country:US
Mailing Address - Phone:850-769-3393
Mailing Address - Fax:
Practice Address - Street 1:330 W 23RD ST
Practice Address - Street 2:STE. E
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-7614
Practice Address - Country:US
Practice Address - Phone:850-769-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21358207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036360000Medicaid
FLD68998Medicare UPIN