Provider Demographics
NPI:1528049483
Name:PARNASSA, DANIEL T (MD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:T
Last Name:PARNASSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 US HIGHWAY 27 S UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-4936
Mailing Address - Country:US
Mailing Address - Phone:863-385-4300
Mailing Address - Fax:863-385-0383
Practice Address - Street 1:2227 US HIGHWAY 27 S UNIT 101
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-4936
Practice Address - Country:US
Practice Address - Phone:863-385-4300
Practice Address - Fax:863-385-0383
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78117207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266296500Medicaid
FLP00073719OtherRAILROAD MEDICARE
FL892750856OtherCLINICIAN PROVIDER ID
FL0224610OtherHEALTHEASE/HEALTHY KIDS PROVIDER NUMBER
FLN224610OtherWELLCARE
FL62805OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL892750856OtherCLINICIAN PROVIDER ID
FLH74922Medicare UPIN