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Jaime O Parra, D.R.

Dental Laboratory Technician in Orlando, FL. Individual provider (NPI-1).

NPI number1154466902
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1154466902
Entity type
Individual (NPI-1)
Name
Jaime O Parra
Credential
D.R.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 20, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126900000X Dental Laboratory TechnicianDR 124980FLYes

Practice location

232 N Orange Blossom Trl
Orlando, FL 32805-1612

Phone 407-428-1672 · Fax 407-481-8638

Mailing address

232 N Orange Blossom Trl
Orlando, FL 32805-1612

Phone 407-428-1672 · Fax 407-481-8638

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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