Active NPI
Parsons Walk in Clinic
- Internal Medicine Physician
- Brandon, FL
National Provider Identifier
1124057955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME59912
- Legal business name
- PARSONS WALK IN CLINIC
- Practice address
- 1082 E Brandon Blvd
Brandon, FL 33511-5509 - Phone
- (813) 689-8900
- Fax
- (813) 653-9696
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Amarjit S. Dhaliwal
- Title
- Ceo President
- Phone
- (813) 689-8900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME96113 | FL | |
| Family Medicine Physician | 207Q00000X | ME98549 | FL | |
| Internal Medicine Physician | 207R00000X | ME59912 | FL | Primary |
Addresses
Primary practice location
1082 E Brandon Blvd
Brandon, FL 33511-5509
Mailing address
PO Box 3550
Brandon, FL 33509-3550
Phone (813) 689-8900
Other names 1
- Liberty Walk In Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Walk-in Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Ruskin, FL
- NPI 1194982447
-
- Primary Care Clinic/Center
- Parrish, FL
- NPI 1629235973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brandon, FL
- NPI 1548206287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1124057955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3550",
"city": "BRANDON",
"state": "FL",
"postal_code": "335093550",
"telephone_number": "813-689-8900",
"fax_number": "813-653-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 E BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115509",
"telephone_number": "813-689-8900",
"fax_number": "813-653-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARSONS WALK IN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "DHALIWAL",
"authorized_official_first_name": "AMARJIT",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "813-689-8900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME96113",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME98549",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME59912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Walk In Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.