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NPI Code Detail

MEDICARE: WAYNE PALMER DC PA

MEDICARE: WAYNE PALMER DC PA
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1255992814
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAYNE PALMER DC PA
Provider Business Mailing Address
First Line : 3500 SW CORPORATE PKWY STE 201
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8185
Country : US
Telephone Number : 772-220-5880
Fax Number : 772-220-5888
Provider Business Practice Location Address
First Line : 3500 SW CORPORATE PKWY STE 201
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8185
Country : US
Telephone Number : 772-220-5880
Fax Number : 772-220-5888
Authorized Official
Title or Position : PRESIDENT
Name : DR. WAYNE DANIEL PALMER
Credential : DC
Telephone Number : 772-220-5880
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/25/2019

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Directions to “WAYNE PALMER DC PA ” Practice Location

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