Healthcare Provider Details

I. General information

NPI: 1609433390
Provider Name (Legal Business Name): BECKY ANN PALMER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 STICKNEY POINT RD
SARASOTA FL
34231-8869
US

IV. Provider business mailing address

935 N BENEVA RD SUITE 801, #50681
SARASOTA FL
34232
US

V. Phone/Fax

Practice location:
  • Phone: 941-312-1365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: BECKY PALMER
Title or Position: ACUPUNCTURIST
Credential: DOM, AP, LMT
Phone: 941-312-1365