Provider Demographics
NPI:1346445046
Name:PARKER, JOYCE ELAINE
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ELAINE
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10849 E GOBBLER DR
Mailing Address - Street 2:
Mailing Address - City:FLORAL CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34436-2274
Mailing Address - Country:US
Mailing Address - Phone:352-344-3522
Mailing Address - Fax:
Practice Address - Street 1:10849 E GOBBLER DR
Practice Address - Street 2:
Practice Address - City:FLORAL CITY
Practice Address - State:FL
Practice Address - Zip Code:34436-2274
Practice Address - Country:US
Practice Address - Phone:352-344-3522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver