Physician Consultant Associates LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PHYSICIAN CONSULTANT ASSOCIATES LLC

Practice address

550 Pope Ave NW
Winter Haven, FL 33881-4679

Phone

(863) 299-2636

Fax

(863) 662-5288

NPI assigned

Mar 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dane Parker

Title

President

Phone

(863) 299-2636

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1386185965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2636",
            "fax_number": "863-662-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2636",
            "fax_number": "863-662-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CONSULTANT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-299-2636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlynn Patray Pharnes, LMHC
• Neetha Rachel Philip
• Phillips Salomon & Parrish PA
• James A Phillips, OD
• Stephen F Phillips, OD
• Physicians Housecall Team, LLC
• Physicians of Winter Haven LLC
• Physicians Services LLC
• Peter Ronald Piatasik, PT
• Kimberly K Picha, LMHC

• Point of Service in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.