Healthcare Provider Details

I. General information

NPI: 1447184197
Provider Name (Legal Business Name): PALMS MAJESTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 FUTURES DR STE 309
ORLANDO FL
32819-9097
US

IV. Provider business mailing address

7550 FUTURES DR STE 309
ORLANDO FL
32819-9097
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-7152
  • Fax: 321-422-1157
Mailing address:
  • Phone: 407-270-7152
  • Fax: 321-422-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA YVETTA SMITH
Title or Position: OWNER
Credential:
Phone: 407-270-7152