Provider Demographics
NPI:1770565152
Name:PARLETTE GUINAN, ADRIENNE CAY (PA-C)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:CAY
Last Name:PARLETTE GUINAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:C
Other - Last Name:PARLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:2141 S. HIGHWAY A1A ATL
Practice Address - Street 2:SUITE 420
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4063
Practice Address - Country:US
Practice Address - Phone:561-743-5580
Practice Address - Fax:561-743-5595
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102337363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8931026OtherCIGNA
FLP1032155OtherFREEDOM
FL1240945OtherWELLCARE
FL4180862OtherAETNA
FLP968503OtherOPTIMUM
FLY00MAOtherBCBS
FLP90857Medicare UPIN
FLU0787VMedicare PIN
FL8931026OtherCIGNA