Provider Demographics
NPI:1649291329
Name:PARENTE, GEORGE (PHYSICAL THERAPY)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:PARENTE
Suffix:
Gender:M
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SE 4TH CT
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-4738
Mailing Address - Country:US
Mailing Address - Phone:954-562-6227
Mailing Address - Fax:
Practice Address - Street 1:550 SE 4TH CT
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4738
Practice Address - Country:US
Practice Address - Phone:954-922-0501
Practice Address - Fax:954-922-0501
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY073LAMedicare NSC