Healthcare Provider Details

I. General information

NPI: 1629285226
Provider Name (Legal Business Name): NICOLE MARIE PALMER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 08/07/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10155 E. COLONIAL DR
OCOEE FL
34761-4209
US

IV. Provider business mailing address

10155 E. COLONIAL DR
OCOEE FL
34761-4209
US

V. Phone/Fax

Practice location:
  • Phone: 407-203-6870
  • Fax: 407-386-6672
Mailing address:
  • Phone: 407-203-6870
  • Fax: 407-386-6672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2007003954
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002423A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: