Parker, Petronia

Parker, Petronia is an sole proprietor health care provider with primary practice located at 713 Nw Federal Hwy , Stuart FL 34994-1016. She recently has 4 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Parker, Petronia can be contacted via phone (407) 284-9784.

Contact Information

Primary practice address
713 Nw Federal Hwy Stuart FL 34994-1016
Phone: (407) 284-9784
Fax: (888) 691-0607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Florida
Nursing Service Related Providers / Adult Companion 372600000X Florida
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1811641582
LBN Legal business name Parker, Petronia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811641582 NPPES
Florida MEDICAID 019043400

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