Provider Demographics
NPI:1639145535
Name:PARKER, JAMES RODNEY (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RODNEY
Last Name:PARKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 HILLEND CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4732
Mailing Address - Country:US
Mailing Address - Phone:407-884-1595
Mailing Address - Fax:
Practice Address - Street 1:1403 MEDICAL PLAZA DR STE 109
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1085
Practice Address - Country:US
Practice Address - Phone:407-330-6500
Practice Address - Fax:407-330-6526
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 4044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL204858200Medicaid
FL00070447Medicare ID - Type Unspecified
FL204858200Medicaid