Active NPI
Parker Integrative Medicine, LLC
- Physician Assistant
- Port Orange, FL
National Provider Identifier
1407470768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- PARKER INTEGRATIVE MEDICINE, LLC
- Practice address
- 1794 Arash Cir
Port Orange, FL 32128-7303 - Phone
- (386) 316-2525
- Fax
- (903) 213-9186
- NPI assigned
- Jun 2, 2020
- Last updated
- Oct 6, 2025
- 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
- Cindy Renee Parker, DHSC, PA-C
- Title
- Owner/Practitioner
- Phone
- (386) 316-2525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1794 Arash Cir
Port Orange, FL 32128-7303
Mailing address
1794 Arash Cir
Port Orange, FL 32128-7303
Phone (386) 316-2525
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759708800000",
"number": "1407470768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 ARASH CIR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287303",
"telephone_number": "386-316-2525",
"fax_number": "903-213-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1794 ARASH CIR",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321287303",
"telephone_number": "386-316-2525",
"fax_number": "903-213-9186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER INTEGRATIVE MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-02",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "386-316-2525",
"authorized_official_credential": "DHSC, PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.