MEDICARE: BRET L PALMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	241435	NY
2	207P00000X	Emergency Medicine Physician	ME114494	FL

General Provider Information

NPI Number	:	1528164241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRET L PALMER M.D.

Provider Business Mailing Address
First Line	:	1501 NW 49TH ST
Second Line	:	SUITE 140
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3723
Country	:	US
Telephone Number	:	954-714-6351
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 NW 49TH ST
Second Line	:	SUITE 140
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3723
Country	:	US
Telephone Number	:	954-714-6351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/26/2015

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Directions to “ BRET L PALMER M.D.” Practice Location

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