Provider Demographics
NPI:1295874261
Name:PARZYNSKI, PAMELA A (DO)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
Last Name:PARZYNSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6234208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD67861Medicare UPIN
FL37309055Medicaid
FL80816Medicare ID - Type Unspecified