Provider Demographics
NPI:1477793701
Name:PARVADIA, JIGNESH K (APRN-C)
Entity Type:Individual
Prefix:
First Name:JIGNESH
Middle Name:K
Last Name:PARVADIA
Suffix:
Gender:M
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2441 OAK MYRTLE LN STE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6334
Mailing Address - Country:US
Mailing Address - Phone:813-406-4835
Mailing Address - Fax:
Practice Address - Street 1:2441 OAK MYRTLE LN STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6334
Practice Address - Country:US
Practice Address - Phone:813-406-4835
Practice Address - Fax:813-994-4835
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF10211150363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner