Provider Demographics
NPI:1881784726
Name:PARWANI, RESHMA (MS, CCC)
Entity type:Individual
Prefix:MS
First Name:RESHMA
Middle Name:
Last Name:PARWANI
Suffix:
Gender:F
Credentials:MS, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S HARBOUR ISLAND BLVD
Mailing Address - Street 2:618
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5712
Mailing Address - Country:US
Mailing Address - Phone:813-728-3911
Mailing Address - Fax:
Practice Address - Street 1:900 CARILLON PKWY
Practice Address - Street 2:SUITE 407
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1115
Practice Address - Country:US
Practice Address - Phone:727-571-1210
Practice Address - Fax:727-573-1958
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL886954500Medicaid
FLS2292OtherBC/BS OF FLORIDA #