Provider Demographics
NPI:1881024495
Name:PARSONS, ROBERT (RT (R)(MR))
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:PARSONS
Suffix:
Gender:M
Credentials:RT (R)(MR)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 S 14TH ST STE 16
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-1965
Mailing Address - Country:US
Mailing Address - Phone:904-491-7700
Mailing Address - Fax:904-491-7701
Practice Address - Street 1:1699 S 14TH ST STE 16
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-1965
Practice Address - Country:US
Practice Address - Phone:904-491-7700
Practice Address - Fax:904-491-7701
Is Sole Proprietor?:No
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28607247100000X, 2471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist