Parks, Mary Beth

Parks, Mary Beth is an individual health care provider with primary practice located at 8960 Colonial Center Dr Ste 300 , Fort Myers FL 33905-7810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Parks, Mary Beth can be contacted via phone (239) 343-9470.

Contact Information

Primary practice address
8960 Colonial Center Dr Ste 300 Fort Myers FL 33905-7810
Phone: (239) 343-9470
Fax: (239) 343-9498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11009513 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN8135 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN8135 Tennessee

Profile Details

NPI number 1790735736
LBN Legal business name Parks, Mary Beth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 6th, 2022 - about 2 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 1790735736 NPPES
Florida MEDICAID 112420100

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