# PALM PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063841740
- **Authorized official:** MARIO ALBERT MALVEHY M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (914) 720-3686

## Contact information

- **Practice address:** 705 EAST LE JEUNE ROAD, 2ND FLOOR, HIALEAH, FL 33010
- **Practice address phone:** (914) 720-3686
- **Mailing address:** 705 EAST LE JEUNE ROAD, 2ND FLOOR, HIALEAH, FL 33010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 11/04/2013