Provider Demographics
NPI:1770508954
Name:PARKER MEDICAL INC
Entity Type:Organization
Organization Name:PARKER MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:E
Authorized Official - Last Name:VILARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-262-6678
Mailing Address - Street 1:7821 CORAL WAY
Mailing Address - Street 2:SUITE 132
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6542
Mailing Address - Country:US
Mailing Address - Phone:305-262-6678
Mailing Address - Fax:305-262-6680
Practice Address - Street 1:7821 CORAL WAY
Practice Address - Street 2:SUITE 132
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6542
Practice Address - Country:US
Practice Address - Phone:305-262-6678
Practice Address - Fax:305-262-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684871Medicare ID - Type UnspecifiedPROVIDER NUMBER