Healthcare Provider Details

I. General information

NPI: 1962507863
Provider Name (Legal Business Name): GIUSEPPE PALERMO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1048 HARVIN WAY
ROCKLEDGE FL
32955-3229
US

IV. Provider business mailing address

PO BOX 100045
ATLANTA GA
30348-0045
US

V. Phone/Fax

Practice location:
  • Phone: 321-636-2111
  • Fax: 321-636-7180
Mailing address:
  • Phone: 321-636-2111
  • Fax: 321-636-9219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME64498
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME64498
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: