Parker Family Medicine PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PARKER FAMILY MEDICINE PLLC

Practice address

17595 S Tamiami TRL Ste 101
Fort Myers, FL 33908-4500

Phone

(239) 236-9530

Fax

(239) 482-4994

NPI assigned

Mar 24, 2025

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edsel James Parker, A-APRN, FNP-CNPI 1679237242

Title

Owner

Phone

(239) 236-9530

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edsel James Parker, A-APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1679237242
  NPD Authorized official

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1780486506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084500",
            "telephone_number": "239-236-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 S TAMIAMI TRL STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084500",
            "telephone_number": "239-236-9530",
            "fax_number": "239-482-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-236-9530",
        "authorized_official_credential": "A-APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Parham
• Richard S Paritzky, PHD
• Park Center for Procedures LLC
• Barbara Park, RBT (REGISTERED BT
• Sunmi Park
• Dawne Louise Parker, FNP
• Edsel James Parker, A-APRN, FNP-C
• Mary Parker, ARNP
• Veronica Parker
• Yindra I. Parker

• Primary Care Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.