Provider Demographics
NPI:1275560765
Name:PARELL, GEORGE J (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:PARELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W. 23RD ST.
Mailing Address - Street 2:SUITE 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:850-784-4869
Practice Address - Street 1:330 W. 23RD ST.
Practice Address - Street 2:SUITE 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:850-784-4869
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME21358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL036360000Medicaid
FLD68998Medicare UPIN