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NPI Code Detail

MEDICARE: BROOKE M PALMER PA-C

MEDICARE: BROOKE M PALMER PA-C
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
1363A00000XPhysician Assistant50.005763RXOH

General Provider Information

NPI Number : 1063905560
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE M PALMER PA-C
Provider Business Mailing Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-505-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2018
Last Update Date : 12/19/2025

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Directions to “ BROOKE M PALMER PA-C” Practice Location

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