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Contact Information

PALMETTO BEHAVIORAL MEDICINE INC
3002 SE 1ST AVE
SUITE 100
OCALA, FL34471-0407
 Phone: 352-368-2448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PALMETTO BEHAVIORAL MEDICINE INC

NPI # 1619140662
LBN Legal business name PALMETTO BEHAVIORAL MEDICINE INC
Authorized official MICAH BAXLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2008
Last updated 10/01/2014 - About 12 years ago
Identifiers
FL License # ME100494
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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