Basic Information
| Provider Information | |||||||||
| NPI: | 1720159940 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAROWSKI | ||||||||
| FirstName: | SUPRIYA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11190 HEALTH PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341105729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2395527694 | ||||||||
| FaxNumber: | 2395527755 | ||||||||
| Practice Location | |||||||||
| Address1: | 11190 HEALTH PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341105729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2395527694 | ||||||||
| FaxNumber: | 2395527755 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MB063024 | NJ | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | OS13550 | FL | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | IP433Z | 01 | FL | MEDICARE | OTHER | 017612300 | 05 | FL | MEDICAID | Q0GE8 | 01 | FL | BCBS | OTHER |