Provider Demographics
NPI:1336314327
Name:PARNES, BRIAN MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MITCHELL
Last Name:PARNES
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 1:10125 W COLONIAL DR STE 218
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4200
Mailing Address - Country:US
Mailing Address - Phone:407-723-0041
Mailing Address - Fax:407-723-0045
Practice Address - Street 1:1414 KUHL AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2008
Practice Address - Country:US
Practice Address - Phone:407-296-1872
Practice Address - Fax:407-253-2644
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME117474208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010615500Medicaid
FLHS302YOtherMEDICARE