Provider Demographics
NPI:1053373928
Name:PARRINELLO, JOHN F (DPM)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:PARRINELLO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14540 CORTEZ BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-6056
Mailing Address - Country:US
Mailing Address - Phone:352-592-4711
Mailing Address - Fax:352-592-4788
Practice Address - Street 1:14540 CORTEZ BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6056
Practice Address - Country:US
Practice Address - Phone:352-592-4711
Practice Address - Fax:352-592-4788
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2474213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5108290002OtherDME
FL390275700Medicaid
FLQ0357Medicare PIN
FL390275700Medicaid