Active NPI
Harison Rafael Parra, MD
- General Practice Physician
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1552
- Practice address
- 3953 S Nova Rd Ste a
Port Orange, FL 32127-4910 - Phone
- (386) 788-4911
- Fax
- (844) 388-6186
- NPI assigned
- Jan 12, 2022
- Last updated
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1552 | FL | Primary |
| General Practice Physician | 208D00000X | 15705I | PR |
Addresses
Primary practice location
3953 S Nova Rd Ste a
Port Orange, FL 32127-4910
Mailing address
601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (727) 322-3439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3953 S Nova Rd
Suite B
Port Orange, FL 32127-4910
Phone (386) 387-8324
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1552 | FL | MD | General Practice Physician |
| 15705I | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Single Specialty | Current | Accepting new patients |
| Lina L Feaster PA | Single Specialty | Current | Accepting new patients |
Locations
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
3953 S Nova Rd
#A
Port Orange, FL 32127
Phone (386) 788-4911
3953 S Nova Rd
#B
Port Orange, FL 32127
Phone (386) 387-8324
2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba VIPcare
- Primary Care Clinic/Center
- Lady Lake, FL
- NPI 1336153709
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1871244848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S HARBOUR ISLAND BLVD STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025925",
"telephone_number": "727-322-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3953 S NOVA RD STE A",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274910",
"telephone_number": "386-788-4911",
"fax_number": "844-388-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRA",
"first_name": "HARISON",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1552",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15705I",
"primary": false
}
],
"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 Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.