Provider Demographics
NPI:1649250614
Name:PARNES, TODD IRWIN (DO)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:IRWIN
Last Name:PARNES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13660 JOG RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446
Mailing Address - Country:US
Mailing Address - Phone:561-495-2002
Mailing Address - Fax:561-733-3742
Practice Address - Street 1:13660 JOG RD
Practice Address - Street 2:SUITE 3
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3806
Practice Address - Country:US
Practice Address - Phone:561-495-2002
Practice Address - Fax:561-733-3742
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8153207YS0123X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS8153OtherLICENSE NUMBER
FLH30979Medicare UPIN
FLOS8153OtherLICENSE NUMBER