Provider Demographics
NPI:1316025596
Name:PARLATO, CARLEEN DEMSHOK (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CARLEEN
Middle Name:DEMSHOK
Last Name:PARLATO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:CARLEEN
Other - Middle Name:D
Other - Last Name:PARLATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:2894 ALAFAYA TRAIL
Mailing Address - Street 2:# 2000
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-0000
Mailing Address - Country:US
Mailing Address - Phone:407-366-2020
Mailing Address - Fax:
Practice Address - Street 1:2984 ALAFAYA TRAIL
Practice Address - Street 2:# 2000
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-0000
Practice Address - Country:US
Practice Address - Phone:407-366-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP791842363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P14833Medicare UPIN