NPI Profile for NICOLE F PALM in ORLANDO, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1497168330 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 06/09/2014 | |
| Last updated | 06/11/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICOLE F PALM
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