Provider Demographics
NPI:1447477633
Name:PARKER, JENNIFER DAIF (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DAIF
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 LINTON BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6543
Mailing Address - Country:US
Mailing Address - Phone:561-499-2015
Mailing Address - Fax:561-499-2016
Practice Address - Street 1:5258 LINTON BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6540
Practice Address - Country:US
Practice Address - Phone:561-499-2015
Practice Address - Fax:561-499-2016
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY242733207V00000X
FLME101231207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology