Palmer Mobile Medical, LLC

NPI #1174156905 in Venice, Florida

Provider Information

NPI Number
1174156905
Entity Type
Organization
Organization Name
Palmer Mobile Medical, LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Feb 20, 2020
Last Updated
Feb 20, 2020

Practice Location

Address
10146 SALT AIRE CIR
City
Venice
State
Florida
ZIP Code
34292-2282
Phone
(330) 415-4473

Authorized Official

Name
MR. SAMUEL COPELAND PALMER, APRN
Title
MANAGING MEMBER
Phone
(330) 415-4473

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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