Provider Demographics
NPI:1760671457
Name:PARSONS PEDIATRIC CENTER
Entity Type:Organization
Organization Name:PARSONS PEDIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMARJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DHALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-655-9955
Mailing Address - Street 1:908 S PARSONS AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-6064
Mailing Address - Country:US
Mailing Address - Phone:813-655-9955
Mailing Address - Fax:
Practice Address - Street 1:908 S PARSONS AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-6064
Practice Address - Country:US
Practice Address - Phone:813-655-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty