MEDICARE: PALMER AND BRANUM, INC

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
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760860662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMER AND BRANUM, INC

Provider Business Mailing Address
First Line	:	2325 COLONIAL CIR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-5608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 COLONIAL CIR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-5608
Country	:	US
Telephone Number	:	850-477-7165
Fax Number	:	850-270-6790

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. ROSEMARY PALMER
Credential	:	MPA, CRC
Telephone Number	:	850-477-7165

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

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