Parker, Dane Vincent

Parker, Dane Vincent is an sole proprietor health care provider with primary practice located at 3240 S Florida Ave , Lakeland FL 33803-4574. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Parker, Dane Vincent can be contacted via phone (863) 644-4000.

Contact Information

Primary practice address
3240 S Florida Ave Lakeland FL 33803-4574
Phone: (863) 644-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0005687 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9317352 Florida

Profile Details

NPI number 1730186800
LBN Legal business name Parker, Dane Vincent
Credentials D.C., A.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated May 17th, 2024 - about 4 months 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 1730186800 NPPES
Florida MEDICAID 380469100

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