Provider Demographics
NPI:1619231339
Name:PAMELA A. PARZYNSKI, D.O, P.A
Entity Type:Organization
Organization Name:PAMELA A. PARZYNSKI, D.O, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-609-2851
Mailing Address - Street 1:1941 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5723
Mailing Address - Country:US
Mailing Address - Phone:954-560-7610
Mailing Address - Fax:954-630-8856
Practice Address - Street 1:6730 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4013
Practice Address - Country:US
Practice Address - Phone:954-722-2212
Practice Address - Fax:954-721-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6234261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty