PETRONIA PARKER NPI 1811641582

NPI Information

NPI: 1811641582
Provider Name: PETRONIA PARKER
Classification: Clinic/Center - 261QD1600X
Entity Type: Individual

Specialization: Developmental Disabilities

Address:
713 NW FEDERAL HWY
STUART, FL
ZIP 34994
Phone: (407) 284-9784
Get Directions

Petronia Parker is a developmental disabilities clinic center in Stuart, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Petronia Parker NPI is 1811641582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

713 NW FEDERAL HWY
STUART, FL
ZIP 34994-016
Phone: (407) 284-9784
Fax: (888) 691-0607

The enumeration date for this NPI number is 2/10/2022 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	253Z00000X	In Home Supportive Care		FLORIDA	No
2	372600000X	Adult Companion		FLORIDA	No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	FLORIDA	No
4	261QD1600X	Clinic/Center	Developmental Disabilities	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019043400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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